Individual provider · Type 1 NPI

Stephen Christpher Mack, LSAA

Addiction (Substance Use Disorder) Counselor · Taos, NM

NPI number 1871545103 Active

Practice location

413 Sipapu Rd
Taos, NM 87571

Call (505) 758-5857 Map

Fax (505) 758-2832

Mailing address

7320 Ndcbu
Taos, NM 87571

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X005761 (NM)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1871545103

Stephen Christpher Mack, LSAA's National Provider Identifier is 1871545103, issued on May 16, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Taos, NM. The record was last updated on Mar 19, 2015.