Individual
JENNIFER LEE METTLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 PATRICIA PL, EDGEWOOD, NM 87015-9748
(505) 350-9342
Mailing address
6 PATRICIA PL, EDGEWOOD, NM 87015-9748
(505) 350-9342
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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