Individual
JENNIFER TENORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
176 SUNRISE RD, SAN FELIPE PB, NM 87001-8019
(505) 639-9928
Mailing address
176 SUNRISE RD, SAN FELIPE PB, NM 87001-8019
(505) 639-9928
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
432
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
432
CERTIFIED PEER SUPPORT WORKER
NM
Enumeration date
08/26/2015
Last updated
08/26/2015
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