Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STEPHEN CHRISTPHER MACK, LSAA
ActiveAddiction (Substance Use Disorder) Counselor · TAOS, NM
Registration Details
- NPI Number
- 1871545103
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2006 (19.934738591742 yrs)
- Last Updated
- Mar 19, 2015
- License
-
005761 (NM)
Practice Information
- Address
-
413 SIPAPU RDTAOS, NM, 87571Browse NM providers · Browse ZIP 87571
- Phone
- 5057585857
- Fax
- 5057582832
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in TAOS, NM
| Name | Credential | NPI |
|---|---|---|
| MS. MARIAH G. WINDSONG | LADAC INTERN | 1083637953 |
| DAVID F TRUJILLO | — | 1730278847 |
| THEDRA LUANN MARTINEZ | — | 1568551679 |
| MR. ROGER DANIEL MARTINEZ | LADAC | 1194932020 |
| MR. JOHN STAN ESPINOZA | LADAC | 1861686511 |
| MS. HOLLY RAE | LADAC | 1114165594 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.