Individual
AMANDA FENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 RIO GRANDE BLVD NW STE G252, ALBUQUERQUE, NM 87104-2050
(505) 702-8112
(505) 702-8112
Mailing address
901 RIO GRANDE BLVD NW STE G252, ALBUQUERQUE, NM 87104-2050
(505) 702-8112
(505) 702-8112
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CTB-2024-0167
NM
Other
Enumeration date
01/26/2023
Last updated
03/17/2025
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