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Individual

MR. JOHN CHARLES REHM IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2924 N MANN DR, SILVER CITY, NM 88061-5900
(505) 397-2011
Mailing address
114 W 11TH ST, SILVER CITY, NM 88061-5136
(575) 388-1511
(575) 313-8236

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSA0218871
NM
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/15/2019
Last updated
01/19/2023
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