Individual
MS. JENNIFER LYNNE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSAA, LMHC
Contact information
Practice address
1732 SAVANNAH DR NE, RIO RANCHO, NM 87144-5701
(818) 521-1685
Mailing address
1732 SAVANNAH DR NE, RIO RANCHO, NM 87144-5701
(818) 521-1685
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CTB-2022-0235
NM
101YM0800X
Mental Health Counselor
Primary
CTB-2022-0321
NM
Other
Enumeration date
07/19/2022
Last updated
08/03/2022
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