Individual
JENNELLE DAWN HINDASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3855 FOOTHILLS RD STE C, LAS CRUCES, NM 88011-4772
(575) 496-7762
Mailing address
3855 FOOTHILLS RD STE C, LAS CRUCES, NM 88011-4772
(575) 386-5254
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
C-06649
NM
104100000X
Social Worker
M-05761
NM
1041C0700X
Clinical Social Worker
Primary
C-06649
NM
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17831237
—
NM
05
—
41676238
—
NM
Enumeration date
03/01/2007
Last updated
01/18/2024
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