Individual provider · Type 1 NPI

Jonathan Trimble Mack, EDM, LPCC

Mental Health Counselor · Albuquerque, NM

NPI number 1295784353 Active

Practice location

7109 Prospect Pl NE
Albuquerque, NM 87110-4313

Call (505) 796-4004 Map

Fax (505) 830-3264

Mailing address

PO Box 1613
Peralta, NM 87042-1613

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0086461 (NM)

Mental Health Counselor: Definition to come...

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About NPI 1295784353

Jonathan Trimble Mack, EDM, LPCC's National Provider Identifier is 1295784353, issued on May 8, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albuquerque, NM. The record was last updated on Mar 8, 2010.