Individual provider · Type 1 NPI

Mary Raske

Professional Counselor · Santa Fe, NM

NPI number 1780920850 Active

Practice location

2960 Rodeo Park Dr W
Santa Fe, NM 87505-6351

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XT-0155091 (NM)
Professional Counselor Primary 101YP2500X0157561 (NM)

Professional Counselor: Definition to come...

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About NPI 1780920850

Mary Raske's National Provider Identifier is 1780920850, issued on Dec 18, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Santa Fe, NM. The record was last updated on May 4, 2017.