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Individual

MR. TRENT LAMAR JOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.P.C.C.

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
(505) 796-2356

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH013001
NM

Other

Enumeration date
12/20/2005
Last updated
01/06/2025
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