Individual
JENNA LYNN NORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
801 ENCINO PL NE, ALBUQUERQUE, NM 87102-2612
(505) 272-1312
Mailing address
801 ENCINO PL NE STE F, ALBUQUERQUE, NM 87102-2639
(505) 272-1312
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW135230
PA
1041C0700X
Clinical Social Worker
Primary
C-11369
NM
1041C0700X
Clinical Social Worker
CW021007
PA
Other
Enumeration date
12/06/2018
Last updated
07/06/2021
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