MEDICARE: LENAE CRESPIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	CTB-2025-0894	NM

General Provider Information

NPI Number	:	1699639450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LENAE CRESPIN

Provider Business Mailing Address
First Line	:	6308 PETIRROJO RD NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87120-7022
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7441 BARTLETT ST NE STE 1C
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-5916
Country	:	US
Telephone Number	:	505-990-8576
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “ LENAE CRESPIN ” Practice Location

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