Provider Demographics
NPI:1376658286
Name:THURMAN, JOHN H JR (MDIV, MA)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:H
Last Name:THURMAN
Suffix:JR
Gender:M
Credentials:MDIV, MA
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Mailing Address - Street 1:320 OSUNA RD NE # H
Mailing Address - Street 2:SUITE 4
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-5952
Mailing Address - Country:US
Mailing Address - Phone:505-345-2778
Mailing Address - Fax:505-345-2878
Practice Address - Street 1:320 OSUNA RD NE # H
Practice Address - Street 2:SUITE 4
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-5952
Practice Address - Country:US
Practice Address - Phone:505-345-2778
Practice Address - Fax:505-345-2878
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM#235101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional