Individual
MRS. JAN K HOLLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
9631 MORROW AVE NE, ALBUQUERQUE, NM 87112-2951
(505) 275-2584
Mailing address
9631 MORROW AVE NE, ALBUQUERQUE, NM 87112-2951
(505) 275-2584
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0803
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100626
—
NM
01
—
118824
VALUE OPTIONS COMMERCIAL
NM
01
—
2202654
CIGNA LPCC PROVIDER
NM
01
—
NM LICENSE # 0803
CLINICAL MH COUNSELOR
NM
Enumeration date
08/01/2006
Last updated
07/09/2007
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