Individual
MARCIE STODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 CERRILLOS RD, SANTA FE, NM 87505
(505) 438-0010
(505) 438-6011
Mailing address
4949 SAN PEDRO DR NE, ALBUQUERQUE, NM 87109-2519
(505) 231-0889
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0197871
NM
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/08/2016
Last updated
04/04/2019
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