Larissa Rascon
Counselor, Professional in Rio Rancho, NM. Individual provider (NPI-1).
NPI number1245091990
StatusActive
Last updated in NPPESJan 19, 2024
Details
- NPI
- 1245091990
- Entity type
- Individual (NPI-1)
- Name
- Larissa Rascon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 19, 2024
- Certification date
- Jan 19, 2024
- Last updated
- Jan 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
2218 Southern Blvd SeRio Rancho, NM 87124-3797
Phone 505-994-0161
Mailing address
1613 Evelyn Dr NeRio Rancho, NM 87144-5455
Phone 505-785-8706
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