Organization
VICKI K STILES LPCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI KAYE STILES LPCC (OWNER)
(575) 387-5165
Entity
Organization
Contact information
Practice address
580 STATE HWY 518, MORA, NM 87732
(575) 387-5165
Mailing address
HC 34 BOX 2GG, SAPELLO, NM 87745-9501
(575) 387-5165
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0115881
NM
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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