Jennifer Lee Mettling
Individual provider Active NPI Marriage & Family Therapist · Edgewood, NM
NPI 1457500803 · NPPES record last updated Sep 10, 2008
Key facts
- NPI
- 1457500803
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 6 Patricia PL
Edgewood, NM 87015-9748 - Phone
- (505) 350-9342
- NPI assigned
- Sep 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
6 Patricia PL
Edgewood, NM 87015-9748
Mailing address
6 Patricia PL
Edgewood, NM 87015-9748
Phone (505) 350-9342
Other providers in Edgewood, NM
- Molly J McEachen
- Suzanne McGinty
- Edward N McKenzie
- Effie E Medford
- Harry Schnee Messec
- Sharon Louise Meyer
- Michael Lysonski DDS LLC
- Neita Anne Miller
- Alyssa Briana Mirabal
- Molly McEachen LCSW LLC
All providers in Edgewood, NM · Marriage & Family Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.