Individual
JENNIFER HOPE FAILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4477 IRVING BLVD NW STE B, ALBUQUERQUE, NM 87114-5529
(575) 933-1978
(575) 339-2780
Mailing address
1880 PONDEROSA DR, JEMEZ SPRINGS, NM 87025-8116
(505) 829-4512
(505) 829-4512
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0073611
NM
101YP2500X
Professional Counselor
0073611
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23805234
—
NM
Enumeration date
11/29/2006
Last updated
01/26/2024
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