Individual
JODI RAE HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LMHC
Contact information
Practice address
2201 SAN PEDRO DR NE BLDG 38600, ALBUQUERQUE, NM 87110-4133
(505) 821-3628
(505) 856-7103
Mailing address
8600 ACADEMY RD NE, ALBUQUERQUE, NM 87111-1107
(505) 821-3628
(505) 856-7103
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0202591
NM
Other
Enumeration date
05/24/2019
Last updated
05/31/2019
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