Jonathan Trimble Mack in Peralta - Mental Health
Jonathan Trimble Mack - NPI 1295784353
Jonathan Trimble Mack is a Mental Health in Peralta, New Mexico. Jonathan Trimble Mack practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jonathan Trimble Mack is 1295784353. The last update date is 2010-03-08.
Jonathan Trimble Mack's current location address is Po Box 1613, Peralta, New Mexico. You can contact this provider via phone number 5057964004 and fax number 5058669278. The mailing address for Jonathan Trimble Mack is Po Box 1613, Peralta, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Trimble Mack |
|---|---|
| Address | Po Box 1613, Peralta, New Mexico |
| Phone Number | 5057964004 |
| Fax Number | 5058669278 |
| Sole Proprietor | N |
| Credentials | EDM, LPCC |
NPI Number Detail
| NPI Number | 1295784353 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2010-03-08 |
Provider Mailing Address Detail
| Address | Po Box 1613 |
|---|---|
| City | Peralta |
| State | New Mexico (NM) |
| Post Code | 870421613 |
| Phone Number | 5057964004 |
| Fax Number | 5058669278 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 86461 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique identification code assigned to Jonathan Trimble Mack by the Centers for Medicare & Medicaid Services?
The Jonathan Trimble Mack has been issued the NPI (National Provider Identifier) 1295784353. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jonathan Trimble Mack?
The Jonathan Trimble Mack is physically situated at Po Box 1613, in the city of Peralta, state of NM, with the postal code 870421613.
What is Jonathan Trimble Mack's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jonathan Trimble Mack's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295784353 to Jonathan Trimble Mack?
The Centers for Medicare & Medicaid Services originally issued the 1295784353 to Jonathan Trimble Mack on 2006-05-08.
As of what date was the information regarding Jonathan Trimble Mack, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jonathan Trimble Mack, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-03-08.