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Organization
WALK THE WALK COUNSELING LLC
Active
Organization
WALK THE WALK COUNSELING LLC
Active
Other names
Jen Willis LISW
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER BETH ROSE LISW (SOLE PROPRIETOR)
(505) 639-1312
Entity
Organization
Contact information
Practice address
2111 GOLF COURSE RD SE STE D, RIO RANCHO, NM 87124-1634
(505) 639-1312
Mailing address
2111 GOLF COURSE RD SE STE D, RIO RANCHO, NM 87124-1634
(505) 639-1312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I-06999
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02351714
—
NM
01
—
1104864255
NPI TYPE 1
NM
01
—
1598218190
NPI TYPE 2
—
05
—
17301866
—
NM
Enumeration date
07/29/2016
Last updated
09/02/2025
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