Individual
MS. JESSICA LYNN CALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1102 A PASEO DE ONATE, ESPANOLA, NM 87532
(505) 852-1377
(505) 852-1378
Mailing address
1102 A PASEO DE ONATE, ESPANOLA, NM 87532
(505) 852-1377
(505) 852-1378
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0113441
NM
101YM0800X
Mental Health Counselor
0120981
NM
101YM0800X
Mental Health Counselor
Primary
0132841
NM
Other
Enumeration date
09/01/2009
Last updated
07/08/2010
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