Organization
JENNA KOORS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENNA MARIE KOORS LCSW (PSYCHOTHERAPIST/CEO)
(505) 363-9373
Entity
Organization
Contact information
Practice address
20 KELLY LYNN DR, SANDIA PARK, NM 87047-9326
(505) 363-9373
Mailing address
20 KELLY LYNN DR, SANDIA PARK, NM 87047-9326
(505) 363-9373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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