| Jean Manz Coaching, Llc | |
|
3510 Messina Dr Farmington NM 87402-4782 | |
| (505) 716-7995 | |
| Not Available |
| Full Name | Jean Manz Coaching, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3510 Messina Dr, Farmington, New Mexico |
| Authorized Official Name and Position | Jean Madeleine Manz (OWNER) |
| Authorized Official Contact | 5057167995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Manz Coaching, Llc 4773 Sunrise Cir Farmington NM 87401-9299 Ph: (505) 716-7995 | Jean Manz Coaching, Llc 3510 Messina Dr Farmington NM 87402-4782 Ph: (505) 716-7995 |
| NPI Number | 1164940599 |
|---|---|
| Provider Enumeration Date | 09/06/2017 |
| Last Update Date | 03/03/2020 |
| Certification Date | 03/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164940599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0101581 (New Mexico) | Primary |
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