MR. Stephen Christpher Mack, LSAA

NPI #1871545103 in Taos, New Mexico

Provider Information

NPI Number
1871545103
Entity Type
Individual
Name
MR. Stephen Christpher Mack, LSAA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LSAA
Enumeration Date
May 16, 2006
Last Updated
Mar 19, 2015

Practice Location

Address
413 SIPAPU RD
City
Taos
ZIP Code
87571
Phone
(505) 758-5857

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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