Individual
MRS. JESSICA SIMONE VENTURA-EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-5006
(505) 820-9220
Mailing address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-5006
(505) 820-9220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0155611
NM
101YM0800X
Mental Health Counselor
Primary
0188221
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E7436
—
NM
Enumeration date
03/05/2012
Last updated
07/21/2022
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