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John Bryan Stuppy, LISW,LADAC
Addiction (Substance Use Disorder) Counselor in Santa Fe, New Mexico
NPI 1811982135

John Bryan Stuppy is an Addiction (Substance Use Disorder) Counselor based in Santa Fe, NM and is specialized in Addiction (Substance Use Disorder). John Bryan Stuppy practices in Santa Fe, NM and has the professional credentials of LISW,LADAC. The NPI Number for John Bryan Stuppy is 1811982135 and holds a License No. I-6160 (New Mexico).

The current practice location address for John Bryan Stuppy is 2891 Clark Ct, Santa Fe, NM and can be reached out via phone at 505-930-4550 and via fax at 505-474-4550.

Location: 2891 Clark Ct, Santa Fe, NM, 87507-5179
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811982135
Provider Name
John Bryan Stuppy
Credential
LISW,LADAC
Provider Entity Type
Individual
Gender
Male
Address
2891 Clark Ct, Santa Fe, NM, 87507-5179
Phone Number
505-930-4550
Fax Number
505-474-4550
Provider Enumeration Date
09/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60759364 05 NM
53052552 05 NM
institution
Provider Business Practice Location Address Details
Address
2891 Clark Ct
City
Santa Fe
State
New Mexico
Zip
87507-5179
Phone Number
505-930-4550
Fax Number
505-474-4550
person
Provider Business Mailing Address Details
Address
2891 Clark Ct
City
Santa Fe
State
New Mexico
Zip
87507-5179
Phone Number
505-930-4550
Fax Number
505-474-4550
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
3419 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
I-6160 (New Mexico)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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