Organization
JEAN MANZ COACHING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN MADELEINE MANZ LMFT (OWNER)
(505) 716-7995
Entity
Organization
Contact information
Practice address
3510 MESSINA DR, FARMINGTON, NM 87402-4782
(505) 716-7995
Mailing address
4773 SUNRISE CIR, FARMINGTON, NM 87401-9299
(505) 716-7995
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0101581
NM
Other
Enumeration date
09/06/2017
Last updated
03/03/2020
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