Individual
GENELL BRENNA HOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
26 EOTOTO RD, EL PRADO, NM 87529-7423
(808) 895-8451
Mailing address
PO BOX 2288, TAOS, NM 87571-2288
(808) 895-8451
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
437
HI
101YM0800X
Mental Health Counselor
CTB-2022-0074
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
436
LMHC
HI
01
—
CTB-2022-0074
LPCC
NM
Enumeration date
05/22/2017
Last updated
08/19/2024
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