Individual
MS. JENNIFER FIORDELISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC, MA
Contact information
Practice address
2315 SAN PEDRO DR NE STE F1, ALBUQUERQUE, NM 87110-4158
(505) 553-1725
Mailing address
5717 ASPEN AVE NE, ALBUQUERQUE, NM 87110-5213
(505) 553-1725
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0110261
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49381857
—
NM
01
—
NONE GIVEN
TRICARE
NM
Enumeration date
05/02/2010
Last updated
11/14/2023
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