Organization
WALK THE WALK COUNSELING LLC
Active
Other names
Jen Willis LISW
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER BETH ROSE LISW (SOLE PROPRIETOR)
(505) 639-1312
Entity
Organization
Contact information
Practice address
2111 GOLF COURSE RD SE STE D, RIO RANCHO, NM 87124-1634
(505) 639-1312
Mailing address
2111 GOLF COURSE RD SE STE D, RIO RANCHO, NM 87124-1634
(505) 639-1312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I-06999
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02351714
—
NM
01
—
1104864255
NPI TYPE 1
NM
01
—
1598218190
NPI TYPE 2
—
05
—
17301866
—
NM
Enumeration date
07/29/2016
Last updated
09/02/2025
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