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1821110735
JACK ESTES
ALBUQUERQUE, NM
NPI
1821110735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM LPCC3280)
Enumeration Date
2007-04-04
Last Update Date
2010-02-23
Business Address
-- JACK ESTES MA
1418 MORNINGSIDE DR. NE
ALBUQUERQUE, NM 87190
Phone number: 505-255-4191
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Mailing Address
-- JACK ESTES MA
PO BOX 30103
ALBUQUERQUE, NM 87190-0103
Phone number: 505-255-4191
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