Individual
JEAN VANESSA HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
43 RIDERS RD, SANDIA PARK, NM 87047-9379
(575) 741-1708
Mailing address
43 RIDERS RD, SANDIA PARK, NM 87047-9379
(575) 741-1708
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0162971
NM
Other
Enumeration date
11/17/2010
Last updated
01/12/2023
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