Individual
JEFFREY GEORGE STADLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LMHP
Contact information
Practice address
190 CENTRAL PARK SQ STE 204, LOS ALAMOS, NM 87544-4005
(575) 779-5719
Mailing address
2423 CLUB RD, LOS ALAMOS, NM 87544-1501
(575) 779-5719
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2723
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245674
MIDLANDS CHOICE
NE
01
—
84609
BCBS
NE
Enumeration date
02/05/2007
Last updated
12/05/2023
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