Individual
JESSICA TINGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
7519 GOSHAWK AVE NW, ALBUQUERQUE, NM 87114-3573
(505) 948-8176
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-12156
NM
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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