Provider Demographics
NPI:1447137856
Name:VALLEJOS, RAE CEE (MD, LPCC)
Entity type:Individual
Prefix:
First Name:RAE
Middle Name:CEE
Last Name:VALLEJOS
Suffix:
Gender:F
Credentials:MD, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 W DELGADO AVE
Mailing Address - Street 2:
Mailing Address - City:BELEN
Mailing Address - State:NM
Mailing Address - Zip Code:87002-2805
Mailing Address - Country:US
Mailing Address - Phone:505-720-0445
Mailing Address - Fax:
Practice Address - Street 1:1619 W DELGADO AVE
Practice Address - Street 2:
Practice Address - City:BELEN
Practice Address - State:NM
Practice Address - Zip Code:87002-2805
Practice Address - Country:US
Practice Address - Phone:505-966-1304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCTB-20250581101YM0800X
NMCTB-2025-0581101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health