CLARENCE AUSTIN CHURCH

FARMINGTON, NM
NPI1871235655
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  CTL0222201)
Enumeration Date2022-04-11
Last Update Date2022-04-11
Business Address
CLARENCE AUSTIN CHURCH LMHC
2901 E 20TH ST
FARMINGTON, NM 87402-4411
Phone number: 505-326-0241
Mailing Address
CLARENCE AUSTIN CHURCH LMHC
74 ROAD 3900
FARMINGTON, NM 87401-3203
Phone number: 719-502-1366
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