person
Clarence Austin Church III, LMHC
Mental Health Counselor in Farmington, New Mexico
NPI 1871235655

Clarence Austin Church III is a Mental Health Counselor based in Farmington, NM and is specialized in Mental Health. Clarence Austin Church III practices in Farmington, NM and has the professional credentials of LMHC. The NPI Number for Clarence Austin Church III is 1871235655 and holds a License No. CTL0222201 (New Mexico).

The current practice location address for Clarence Austin Church III is 2901 E 20Th St, Farmington, NM and can be reached out via phone at 505-326-0241.

Location: 2901 E 20Th St, Farmington, NM, 87401-3203
person
Provider Profile Details
NPI Number
1871235655
Provider Name
Clarence Austin Church III
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
2901 E 20Th St, Farmington, NM, 87401-3203
Phone Number
505-326-0241
Fax Number
Provider Enumeration Date
04/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2901 E 20Th St
City
State
Zip
87402-4411
Phone Number
505-326-0241
Fax Number
person
Provider Business Mailing Address Details
Address
2901 E 20Th St
City
State
Zip
87402-4411
Phone Number
505-326-0241
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CTL0222201 (New Mexico)
Definition
Definition to come...
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