MEDICARE: MS. ROSEMARY ELIZABETH DRISCOLL LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	0067532	NM
2	101YM0800X	Mental Health Counselor	0067532	NM
3	101YM0800X	Mental Health Counselor	LH00007836	WA

General Provider Information

NPI Number	:	1215073903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSEMARY ELIZABETH DRISCOLL LPCC

Provider Business Mailing Address
First Line	:	PO BOX 31792
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87594-1792
Country	:	US
Telephone Number	:	505-795-9760
Fax Number	:	505-989-1470

Provider Business Practice Location Address
First Line	:	460 SAINT MICHAELS DR
Second Line	:	SUITE 806
City	:	SANTA FE
State	:	NM
Zip	:	87505-7619
Country	:	US
Telephone Number	:	505-992-0226
Fax Number	:	505-989-1470

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	09/11/2025

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