Individual
JEANNE C CETRULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
217 PASEO DEL PUEBLO NORTE STE E, TAOS, NM 87571-5963
(575) 825-3522
Mailing address
PO BOX 16199, LAS CRUCES, NM 88004-6199
(575) 527-5770
(575) 532-1928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0142621
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31306560
—
NM
Enumeration date
09/11/2011
Last updated
04/22/2023
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