Individual provider · Type 1 NPI

Stephen Derenthal, CCS

Specialist · Taos, NM

NPI number 1326387572 Active

Practice location

413 Sipapu St, Box 6952
Taos, NM 87571-6489

Call (575) 758-5857 Map

Fax (575) 758-5860

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1326387572

Stephen Derenthal, CCS's National Provider Identifier is 1326387572, issued on Feb 7, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Taos, NM. The record was last updated on Feb 7, 2013.