Provider Demographics
NPI:1700233517
Name:DENNEHY, GENE (LPCC, LADAC)
Entity Type:Individual
Prefix:
First Name:GENE
Middle Name:
Last Name:DENNEHY
Suffix:
Gender:M
Credentials:LPCC, LADAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 CAMINO DE LOS MARQUEZ
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-1837
Mailing Address - Country:US
Mailing Address - Phone:505-636-5415
Mailing Address - Fax:
Practice Address - Street 1:505 CAMINO DE LOS MARQUEZ
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-1837
Practice Address - Country:US
Practice Address - Phone:505-636-5415
Practice Address - Fax:505-204-7049
Is Sole Proprietor?:No
Enumeration Date:2016-05-21
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCAD0209021101YA0400X
NMCCMH0198731101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)