Individual
JENNIE DUNNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1941 CAMINO RINCON SW, LOS LUNAS, NM 87031-8842
(505) 322-5856
Mailing address
1941 CAMINO RINCON SW, LOS LUNAS, NM 87031-8842
(505) 322-5856
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-CTL0199261
NM
Other
Enumeration date
09/23/2018
Last updated
09/23/2018
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