| Positive Potential Nm | |
|
4011 Barbara Loop Se Ste 206a Rio Rancho NM 87124-1041 | |
| (505) 796-2356 | |
| Not Available |
| Full Name | Positive Potential Nm |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4011 Barbara Loop Se Ste 206a, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Trent John (CO OWNER) |
| Authorized Official Contact | 5057962356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Potential Nm 105 Sugar Ridge Loop Se Rio Rancho NM 87124-4312 Ph: () - | Positive Potential Nm 4011 Barbara Loop Se Ste 206a Rio Rancho NM 87124-1041 Ph: (505) 796-2356 |
| NPI Number | 1679313464 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 05/29/2024 |
| Certification Date | 05/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679313464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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