Individual
JEANNE PIERROT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
PMG KASEMAN BEHAVIORAL MEDICINE, 1325 WYOMING NE, ALBUQUERQUE, NM 87112
(505) 291-5300
(505) 291-5303
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
5588
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72470267
—
NM
Enumeration date
08/30/2006
Last updated
08/14/2008
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