SearchNew Mexico101YA0400X

Jennifer Charley, LADAC

NPI 1659735140 · on the registry since 2016

Practice

Address
15 Behavioral Health Rd
Pinehill, NM 87357
Phone
(505) 775-3353
Fax
(505) 775-3630

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-04-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico