Individual
DESIREE STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 BERTHA RD STE B, TAOS, NM 87571-7148
(575) 758-4297
Mailing address
PO BOX 3886, TAOS, NM 87571-3886
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
06/24/2025
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