JONATHAN TRIMBLE MACK

ALBUQUERQUE, NM
NPI1295784353
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: NM  0086461)
Enumeration Date2006-05-08
Last Update Date2010-03-08
Business Address
MR. JONATHAN TRIMBLE MACK EDM, LPCC
7109 PROSPECT PL NE
ALBUQUERQUE, NM 87110-4313
Phone number: 505-796-4004
Mailing Address
MR. JONATHAN TRIMBLE MACK EDM, LPCC
PO BOX 1613
PERALTA, NM 87042-1613
Phone number: 505-796-4004
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