Individual provider · Type 1 NPI

Johanna Christine Reznicek, LPCC

Professional Counselor · Santa Fe, NM

NPI number 1629216791 Active

Practice location

2504 Camino Entrada
Santa Fe, NM 87507-4851

Call (505) 471-5006 Map

Fax (505) 820-9220

Mailing address

PO Box 28220
Santa Fe, NM 87592-8220

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X0073911 (NM)
Professional Counselor Primary 101YP2500X0073911 (NM)

Professional Counselor: Definition to come...

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About NPI 1629216791

Johanna Christine Reznicek, LPCC's National Provider Identifier is 1629216791, issued on Jan 28, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Santa Fe, NM. The record was last updated on Jan 28, 2009.