Organization
CHRISTIAN COUNSELING AND PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA JIMMERSON LPCC (LPCC)
(505) 340-3868
Entity
Organization
Contact information
Practice address
6501 4TH ST NW, SUITE H-3, LOS RANCHOS, NM 87107-5800
(505) 340-3868
Mailing address
4600 PARADISE BLVD NW # 65246, ALBUQUERQUE, NM 87114-4106
(505) 340-3868
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0152551
NM
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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