Individual
MS. JENNIFER MACHELLE LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPCC
Contact information
Practice address
300 E 1ST, PORTALES, NM 88101
(505) 359-1221
(505) 359-1075
Mailing address
1100 W 21ST ST, CLOVIS, NM 88101-4151
(505) 769-2345
(505) 769-9013
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K4174
—
NM
Enumeration date
02/06/2007
Last updated
04/21/2022
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