Individual
JESSICA BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1911 5TH ST STE 100, SANTA FE, NM 87505-5403
(505) 955-0410
(505) 955-8577
Mailing address
1911 5TH ST STE 100, SANTA FE, NM 87505-5403
(505) 955-0410
(505) 955-8577
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0222681
NM
Other
Enumeration date
02/08/2016
Last updated
05/13/2025
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