MARK W RAYBOULD LISW INC NPI 1770762775

NPI Information

MARK W RAYBOULD, LISW, INC is a mental health counselor in Albuquerque, NM. MARK W RAYBOULD, LISW, INC NPI is 1770762775. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2811 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM
ZIP 87106-825
Phone: (505) 573-4044
Fax: (505) 212-0975

The provider's authorized official is Mark William Raybould .
The authorized official title is President/sole Owner Provider and has the following contact phone number (505) 573-4044.

The enumeration date for this NPI number is 10/26/2007 and was last updated on 2/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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