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1053183061
ISAAC JORDAN PENNER
ALBUQUERQUE, NM
NPI
1053183061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM CTB-2023-0303)
Enumeration Date
2023-10-23
Last Update Date
2023-10-23
Business Address
ISAAC JORDAN PENNER MA, LMHC
3811 ATRISCO DR NW STE D
ALBUQUERQUE, NM 87120-4903
Phone number: 505-379-4035
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Mailing Address
ISAAC JORDAN PENNER MA, LMHC
8916 ARKANSAS RD NW
ALBUQUERQUE, NM 87120-3991
Phone number: 505-379-4035
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