Individual
MISS BRIANNA NICOLE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
6000 UPTOWN BLVD NE STE 140, ALBUQUERQUE, NM 87110-4157
(920) 284-9521
Mailing address
2829 QUINCY ST NE, ALBUQUERQUE, NM 87110-3059
(920) 284-9521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0222291
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295433985
SERNA SOLUTIONS, LLC
NM
01
—
1801213293
SERNA SOLUTIONS, LLC
NM
05
—
70525846
—
NM
Enumeration date
01/27/2018
Last updated
04/28/2023
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