Individual
JENNA RAE BANEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC, CSCS
Contact information
Practice address
1980 E LOHMAN AVE STE E, LAS CRUCES, NM 88001-3194
(575) 489-4769
Mailing address
1383 LENOX AVE, LAS CRUCES, NM 88005-0827
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2023-1031
NM
Other
Enumeration date
09/27/2023
Last updated
01/01/2024
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