Individual
MS. JENNIFER JANE MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
457C ROAD 3000, AZTEC, NM 87410-9653
(505) 801-7075
Mailing address
457C ROAD 3000, AZTEC, NM 87410-9653
(505) 801-7075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2023-0442
NM
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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