Healthcare Provider Details

I. General information

NPI: 1497312987
Provider Name (Legal Business Name): JENNIFER RABINOWITZ COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2019
Last Update Date: 05/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 W BARCELONA RD
SANTA FE NM
87505-0673
US

IV. Provider business mailing address

518 OLD SANTA FE TRL # 223
SANTA FE NM
87505-0398
US

V. Phone/Fax

Practice location:
  • Phone: 505-629-5371
  • Fax:
Mailing address:
  • Phone: 505-629-5371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER RABINOWITZ
Title or Position: OWNER
Credential: LCSW
Phone: 505-629-5371