Individual
MRS. JENNY ELIZABETH MULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3320 COORS BLVD NW STE C, ALBUQUERQUE, NM 87120-1721
(505) 652-4002
Mailing address
3320 COORS BLVD NW STE C, ALBUQUERQUE, NM 87120-1721
(505) 652-4002
(505) 272-1538
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-08791
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78854849
—
NM
Enumeration date
09/02/2009
Last updated
02/21/2022
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