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Individual

JODI AHREND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
304 GENERAL BRADLEY ST NE, ALBUQUERQUE, NM 87123-1016
(505) 573-4595
Mailing address
304 GENERAL BRADLEY ST NE, ALBUQUERQUE, NM 87123-1016
(505) 573-4595

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
104100000X
Social Worker
M-09611
NM
1041C0700X
Clinical Social Worker
Primary
C-11029
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38770822
NM
Enumeration date
05/16/2014
Last updated
04/15/2022
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