Individual
MRS. JENNIFER LYNNE GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2074 GALISTEO ST, SUITE B-3, SANTA FE, NM 87505-2138
(505) 231-3047
Mailing address
4153 RAINDANCE LN, SANTA FE, NM 87507-2621
(505) 231-3047
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0088651
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89955781
—
NM
Enumeration date
09/16/2006
Last updated
08/24/2009
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