Individual
BRANDON JARED RENNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S., PLMHP
Contact information
Practice address
2300 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1851
(505) 273-1213
(505) 272-3140
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 272-3140
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10409
NE
103T00000X
Psychologist
Primary
1462
NM
Other
Enumeration date
12/01/2014
Last updated
10/11/2024
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