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Individual

MEGAN AILEEN RAFFERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.E.D., LPCC, LMT

Contact information

Practice address
1564 TRUJILLO RD. S.W., ALBUQUERQUE, NM 87105-2857
(505) 249-0945
Mailing address
1564 TRUJILLO RD. S.W., ALBUQUERQUE, NM 87105-2857
(505) 249-0945

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0082181
NM

Other

Enumeration date
11/02/2020
Last updated
11/05/2020
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