Individual
JENNIFER A URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1001 YALE BLVD NE, ALBUQUERQUE, NM 87106-3825
(505) 573-4407
Mailing address
3901 INDIAN SCHOOL RD NE APT D205, ALBUQUERQUE, NM 87110-3852
(505) 573-4407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0172631
NM
101YP2500X
Professional Counselor
Primary
CCMH0213981
NM
Other
Enumeration date
01/07/2016
Last updated
07/05/2023
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