Individual
JOHN MATTHEW DODD I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. LMHC
Contact information
Practice address
2612 TEXAS ST NE, ALBUQUERQUE, NM 87110-4684
(505) 315-9335
Mailing address
7524 SAINT CLAIR ST NE, ALBUQUERQUE, NM 87109-5434
(505) 315-9335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
05/23/2011
Last updated
09/25/2013
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