person
Tina J John
Addiction (Substance Use Disorder) Counselor in Farmington, New Mexico
NPI 1902013808

Tina J John is an Addiction (Substance Use Disorder) Counselor based in Kirtland, NM and is specialized in Addiction (Substance Use Disorder). Tina J John practices in Farmington, NM. The NPI Number for Tina J John is 1902013808 and holds a License No. 0081491 (New Mexico).

The current practice location address for Tina J John is 1615 Ojo Court, Farmington, NM and can be reached out via phone at 505-564-4804 and via fax at 505-564-4857. You can also correspond with Tina J John through the mailing address at PO BOX 2622, KIRTLAND, NM - 87417-2622 (mailing address contact number: ).

Location: 1615 Ojo Court, Farmington, NM, 87417-2622
person
Provider Profile Details
NPI Number
1902013808
Provider Name
Tina J John
Credential
Provider Entity Type
Individual
Gender
Female
Address
1615 Ojo Court, Farmington, NM, 87417-2622
Phone Number
505-564-4804
Fax Number
505-564-4857
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1615 Ojo Court
City
State
Zip
87401
Phone Number
505-564-4804
Fax Number
505-564-4857
person
Provider Business Mailing Address Details
Address
1615 Ojo Court
City
State
Zip
87401
Phone Number
505-564-4804
Fax Number
505-564-4857
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0081491 (New Mexico)
Definition
Definition to come...
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