Jonathan Brito

NPI #1124376843 in Tucumcari, New Mexico

Provider Information

NPI Number: 1124376843
Entity Type: Individual
Name: Jonathan Brito
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 28, 2012
Last Updated: Aug 28, 2012

Practice Location

Address: 302 W ROUTE 66 BLVD
City: Tucumcari
State: New Mexico
ZIP Code: 88401-3259
Phone: (575) 461-4411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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