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Individual

JENNIFER ANN MCGOUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC, LADAC

Contact information

Practice address
7050 BARSTOW ST NE STE B, ALBUQUERQUE, NM 87111-1056
(505) 274-2946
Mailing address
11133 ACADEMY RIDGE RD NE, ALBUQUERQUE, NM 87111-6868
(505) 274-2946

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0154281
NM
101YP2500X
Professional Counselor
Primary
0198021
NM

Other

Enumeration date
10/10/2011
Last updated
01/31/2025
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