Individual
JAKERYAN CARHART BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCG
Contact information
Practice address
504 DAKOTA ST SE, ALBUQUERQUE, NM 87108-3820
(505) 977-3560
Mailing address
239 ELM ST NE, ALBUQUERQUE, NM 87102-3672
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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