Individual
MR. JOHN DAVID COYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
700 E ROOSEVELT AVE, GRANTS, NM 87020-2220
(505) 287-2273
(505) 287-2276
Mailing address
700 E ROOSEVELT AVE, GRANTS, NM 87020-2220
(505) 287-2273
(505) 287-2276
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3026
NM
Other
Enumeration date
10/15/2010
Last updated
05/06/2011
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