All Medicaid billing entities listing HUMPHRIES, JACK (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New Mexico | 1 | $647K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | JACK L. HUMPHRIES, LISW, LTD. | ALBUQUERQUE, NM | Clinical Social Worker | $647K |