Individual
MISS JENNIFER ROSE LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
(505) 345-8471
Mailing address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
(505) 345-8471
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0114401
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87723042
—
NM
Enumeration date
06/18/2008
Last updated
06/18/2008
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