Organization
ERNESTINE TENNEFOS
Active
Other names
Ernestine Tennefos, Ernestine Tennefos
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTINE TENNEFOS LPCC (MENTAL HEALTH COUNSELOR)
(575) 791-5507
Entity
Organization
Contact information
Practice address
930 W 17TH ST, PORTALES, NM 88130-6635
(575) 791-5507
Mailing address
930 W 17TH ST, PORTALES, NM 88130-6635
(575) 791-5507
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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