Individual
RAQUEL TEREZA GUZMAN VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1005 21ST ST SE STE B, RIO RANCHO, NM 87124-4030
(505) 353-2061
Mailing address
PO BOX 15248, RIO RANCHO, NM 87174-0248
(505) 339-6938
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SWB-2022-0803
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2024-1148
NM
Other
Enumeration date
03/06/2018
Last updated
06/13/2025
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