Individual
MS. SUSANNE BETH STOCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1807 2ND ST, SUITE 20, SANTA FE, NM 87505-3499
(505) 690-1346
(505) 820-6863
Mailing address
369 MONTEZUMA AVE # 937, SANTA FE, NM 87501-2626
(505) 690-1346
(505) 820-6863
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0070951
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04386591
—
NM
Enumeration date
11/20/2006
Last updated
07/09/2007
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