person
Mr. Stephen Christpher Mack, LSAA
Addiction (Substance Use Disorder) Counselor in Taos, New Mexico
NPI 1871545103

Stephen Christpher Mack is an Addiction (Substance Use Disorder) Counselor based in Taos, NM and is specialized in Addiction (Substance Use Disorder). Stephen Christpher Mack practices in Taos, NM and has the professional credentials of LSAA. The NPI Number for Stephen Christpher Mack is 1871545103 and holds a License No. 005761 (New Mexico).

The current practice location address for Stephen Christpher Mack is 413 Sipapu Rd, Taos, NM and can be reached out via phone at 505-758-5857 and via fax at 505-758-2832.

Location: 413 Sipapu Rd, Taos, NM, 87571
person
Provider Profile Details
NPI Number
1871545103
Provider Name
Stephen Christpher Mack
Credential
LSAA
Provider Entity Type
Individual
Gender
Male
Address
413 Sipapu Rd, Taos, NM, 87571
Phone Number
505-758-5857
Fax Number
505-758-2832
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
413 Sipapu Rd
City
State
Zip
87571
Phone Number
505-758-5857
Fax Number
505-758-2832
person
Provider Business Mailing Address Details
Address
413 Sipapu Rd
City
State
Zip
87571
Phone Number
505-758-5857
Fax Number
505-758-2832
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
005761 (New Mexico)
Definition
Definition to come...
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