Individual
MR. JOHN T BINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
(505) 327-4796
Mailing address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
(505) 327-4796
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0121241
NM
101YM0800X
Mental Health Counselor
0121241
NM
101YP2500X
Professional Counselor
Primary
0121241
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205169695
NPI
NM
Enumeration date
09/16/2009
Last updated
05/03/2017
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