Provider Information for 1578782249
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RENEE A HENDRIX LPCC
Sex: Female
NPI: 1578782249
Last Updated: 2014-03-20
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1578782249 | ||||||||||||||||
| Enumeration Date | 2007-04-24 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 6611 GULTON CT NE ALBUQUERQUE, NM 87109-4407 United States Phone: 505-296-3965 | Fax: | ||||||||||||||||
| Primary Practice Address | 6611 GULTON CT NE ALBUQUERQUE, NM 87109-4407 United States Phone: 505-296-3965 | Fax:505-323-9430 | ||||||||||||||||
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