Individual
JOHN EDWARD MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASE MANAGER
Contact information
Practice address
105 W GRIGGS AVE, LAS CRUCES, NM 88001-1235
(575) 647-2879
(575) 647-2898
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2025-009
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/05/2019
Last updated
02/17/2025
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