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Individual

MRS. SHELLEY SUE STISSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
8205 SPAIN RD NE STE 106, ALBUQUERQUE, NM 87109-3155
(505) 856-0300
(505) 856-7946
Mailing address
9342 S 182ND LN, GOODYEAR, AZ 85338-5254
(623) 810-7266
(623) 321-1378

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0155941
NM
101YP2500X
Professional Counselor
LPC12877
AZ

Other

Enumeration date
11/19/2008
Last updated
03/17/2018
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