Individual
DR. JACQUELINE ZELLER LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
106 CALLE PAULA, SANTA FE, NM 87505-5707
(505) 989-1545
(505) 989-1545
Mailing address
106 CALLE PAULA, SANTA FE, NM 87505-5707
(505) 989-1545
(505) 989-1545
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0787
NM
102L00000X
Psychoanalyst
0787
NM
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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