TINA J JOHN

FARMINGTON, NM
NPI1902013808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0081491)
Enumeration Date2007-05-17
Last Update Date2019-03-15
Business Address
TINA J JOHN
1615 OJO COURT
FARMINGTON, NM 87401
Phone number: 505-564-4804
Mailing Address
TINA J JOHN
PO BOX 2622
KIRTLAND, NM 87417-2622
Phone number: