Individual
JENNIFER RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 GIRARD BLVD NE, ALBUQUERQUE, NM 87106-1718
(505) 318-0251
Mailing address
163 BRANNAN RD, TIJERAS, NM 87059-7801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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