Individual
JORDAN ROSENBLUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4656 VALENTINA RD, LAS CRUCES, NM 88012-0855
(828) 772-0128
(828) 772-0128
Mailing address
4656 VALENTINA RD, LAS CRUCES, NM 88012-0855
(828) 772-0128
(828) 772-0128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
110666
TX
104100000X
Social Worker
SWB-2023-0994
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2025-1321
NM
Other
Enumeration date
10/21/2014
Last updated
12/05/2025
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