Jean Manz Coaching, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Farmington, NM. Organization (NPI-2).
NPI number1164940599
StatusActive
Last updated in NPPESMar 3, 2020
Details
- NPI
- 1164940599
- Entity type
- Organization (NPI-2)
- Legal business name
- Jean Manz Coaching, LLC
- Organization subpart
- No
- Enumeration date
- Sep 6, 2017
- Certification date
- Mar 3, 2020
- Last updated
- Mar 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 0101581 | NM | Yes |
Practice location
3510 Messina DrFarmington, NM 87402-4782
Phone 505-716-7995
Mailing address
4773 Sunrise CirFarmington, NM 87401-9299
Phone 505-716-7995
Authorized official
Jean Madeleine Manz
Owner
5057167995
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