Individual
MS. MINDA JANE STILLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
707 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102-2360
(505) 268-0701
Mailing address
1420 BRYN MAWR DR NE, ALBUQUERQUE, NM 87106-1104
(505) 232-9125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2329
NM
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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