Individual
MS. MARTHA RAFFERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1350 ACAPULCO RD NE, RIO RANCHO, NM 87144-6449
(505) 991-0443
(505) 896-3510
Mailing address
1350 ACAPULCO RD NE, RIO RANCHO, NM 87144-6449
(505) 991-0443
(505) 896-3510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I-06715
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46572341
—
NM
Enumeration date
03/31/2008
Last updated
03/21/2012
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