Individual
DR. JENNIFER ANN DARAKJY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
5300 MCNUTT RD, SUITE 12, SANTA TERESA, NM 88008-9606
(915) 588-0223
(915) 231-6111
Mailing address
5300 MCNUTT ROAD, SUITE 12, SANTA TERESA, NM 88008-9438
(575) 332-9138
(915) 231-6111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1267
NM
103T00000X
Psychologist
36433
TX
103TP0016X
Prescribing (Medical) Psychologist
Primary
0049C
NM
Other
Enumeration date
03/27/2013
Last updated
03/20/2018
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