Individual
DR. JENNA VISCAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, DOM
Contact information
Practice address
205 SCHOOL OF MINES RD, SOCORRO, NM 87801-4545
(575) 835-4787
(575) 835-4787
Mailing address
205B SCHOOL OF MINES RD, SOCORRO, NM 87801-4545
(505) 946-7030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0088591
NM
171100000X
Acupuncturist
Primary
558
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/10/2006
Last updated
07/21/2022
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