Individual
ROBERT HENNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2325 CERRILLOS RD, SANTA FE, NM 87505-3373
(505) 438-0010
Mailing address
2325 CERRILLOS RD, SANTA FE, NM 87505-3373
(505) 438-0010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1539
NM
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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