Individual
MR. JOHN DEXTER KOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
615 CALLE DE LEON, SANTA FE, NM 87505-7303
(505) 982-8735
(505) 982-0264
Mailing address
615 CALLE DE LEON, SANTA FE, NM 87505-7303
(505) 982-8735
(505) 982-0264
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2113
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B8875
—
NM
Enumeration date
11/12/2006
Last updated
07/09/2007
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