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Organization
POSITIVE POTENTIAL NM
Active
Organization
POSITIVE POTENTIAL NM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT JOHN (CO OWNER)
(505) 796-2356
Entity
Organization
Contact information
Practice address
4011 BARBARA LOOP SE STE 206A, RIO RANCHO, NM 87124-1041
(505) 796-2356
Mailing address
105 SUGAR RIDGE LOOP SE, RIO RANCHO, NM 87124-4312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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