MS. Holly Rae, LADAC

NPI #1114165594 in Taos, New Mexico

Provider Information

NPI Number
1114165594
Entity Type
Individual
Name
MS. Holly Rae, LADAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADAC
Enumeration Date
Jan 23, 2009
Last Updated
Jan 23, 2009

Practice Location

Address
413 SIPAPU ROAD
City
Taos
ZIP Code
87571
Phone
(575) 758-5857

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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