Individual
JESS DARIELLE DANIELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-1035
(505) 503-0272
Mailing address
410 STANFORD DR SE APT A, ALBUQUERQUE, NM 87106-3682
(970) 779-0442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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