Provider Demographics
NPI:1710599394
Name:DENNEHEY, KORINNA LEIGH (LPCC)
Entity Type:Individual
Prefix:
First Name:KORINNA
Middle Name:LEIGH
Last Name:DENNEHEY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 SILVER AVE SW STE 310
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-3184
Mailing Address - Country:US
Mailing Address - Phone:505-436-3916
Mailing Address - Fax:
Practice Address - Street 1:625 SILVER AVE SW STE 310
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-3184
Practice Address - Country:US
Practice Address - Phone:505-436-3916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-17
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCTB-2022-0907101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health