Mack, Jonathan Trimble
Mack, Jonathan Trimble is an individual health care provider with primary practice located at 7109 Prospect Pl Ne , Albuquerque NM 87110-4313. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Mack, Jonathan Trimble can be contacted via phone (505) 796-4004.Contact Information
Primary practice address
7109 Prospect Pl Ne
Albuquerque NM 87110-4313
Phone: (505) 796-4004
Fax: (505) 830-3264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0086461 | New Mexico |
Profile Details
| NPI number | 1295784353 |
|---|---|
| LBN Legal business name | Mack, Jonathan Trimble |
| Credentials | EDM, LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Mar 8th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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