Organization
JETZEN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNA YEAGER (LICENSED CLINICAL SOCIAL WORKER)
(575) 302-7035
Entity
Organization
Contact information
Practice address
508B W MCKAY ST, CARLSBAD, NM 88220-5067
(575) 636-2468
Mailing address
1016 ALBERT ST, CARLSBAD, NM 88220-4528
(575) 302-7035
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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