Individual
ROSS JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
920 STATE ROAD 570, RANCHOS DE TAOS, NM 87557
(575) 779-4446
Mailing address
902 STATE ROAD 570, RANCHOS DE TAOS, NM 87557-7916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
05/08/2025
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