Individual
MRS. ERNESTINE ANNE TENNEFOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPCC
Contact information
Practice address
930 W 17TH ST, PORTALES, NM 88130-6635
(575) 791-5507
Mailing address
930 W 17TH ST, PORTALES, NM 88130-6635
(575) 791-5507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0153271
NM
Other
Enumeration date
02/26/2009
Last updated
03/15/2022
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