Healthcare Provider Details
I. General information
NPI: 1235838269
Provider Name (Legal Business Name): R & C COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/28/2023
Last Update Date: 05/31/2023
Certification Date: 05/31/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2900 LOUISIANA BLVD NE STE 200C
ALBUQUERQUE NM
87110-3587
US
IV. Provider business mailing address
10415 CALLE CHULITA NW
ALBUQUERQUE NM
87114-5372
US
V. Phone/Fax
- Phone: 505-239-3706
- Fax:
- Phone: 505-239-3706
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RHONDA
MADSEN
Title or Position: OWNER/CLINICIAN
Credential: LPCC
Phone: 505-239-3706