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Individual

STEPHEN RATCLIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LPCC, LPC, NCC

Contact information

Practice address
120 ALISO DR SE, ALBUQUERQUE, NM 87108-2693
(505) 504-5449
Mailing address
PO BOX 3258, OREGON CITY, OR 97045-0821
(505) 504-5449

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0144871
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0144871
LICENSED CLINICAL MENTAL HEALTH COUNSELOR (LPCC)
NM
05
15804321
NM
01
C6334
LICENSED PROFESSIONAL COUNSELOR (LPC
OR
Enumeration date
12/10/2009
Last updated
10/05/2023
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