Individual
JENNIFER PAIGE PIERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LPCC
Contact information
Practice address
1200 N PASEO DE ONATE, ESPANOLA, NM 87532-2687
(505) 747-0081
Mailing address
PO BOX 800, SANTA CRUZ, NM 87567-0800
(505) 692-5472
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
69912
TX
101YP2500X
Professional Counselor
Primary
0188171
NM
Other
Enumeration date
10/09/2014
Last updated
04/11/2017
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