Provider Demographics
NPI:1912056565
Name:LASZLO, JENNI M (LMHC; LPCC)
Entity type:Individual
Prefix:MS
First Name:JENNI
Middle Name:M
Last Name:LASZLO
Suffix:
Gender:F
Credentials:LMHC; LPCC
Other - Prefix:
Other - First Name:JENNI LASZLO
Other - Middle Name:
Other - Last Name:COUNSELING LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3 CALIENTE RD STE 8
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87508-9209
Mailing Address - Country:US
Mailing Address - Phone:505-755-7717
Mailing Address - Fax:
Practice Address - Street 1:3 CALIENTE RD STE 8
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87508-9209
Practice Address - Country:US
Practice Address - Phone:505-755-7717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCTB-2024-0061101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health