Individual provider · Type 1 NPI

Clarence Austin Church Iii, LMHC

Mental Health Counselor · Farmington, NM

NPI number 1871235655 Active

Practice location

2901 E 20th St
Farmington, NM 87402-4411

Call (505) 326-0241 Map

Mailing address

74 Road 3900
Farmington, NM 87401-3203

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCTL0222201 (NM)

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1871235655

Clarence Austin Church Iii, LMHC's National Provider Identifier is 1871235655, issued on Apr 11, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Farmington, NM. The record was last updated on Apr 11, 2022.