Individual
CHRISTINE MERMILLIOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LPC LMFT NCC LPCC
Contact information
Practice address
560 ANDREWS LN, CORRALES, NM 87048-9336
(503) 753-6546
(505) 666-5532
Mailing address
PO BOX 1446, CORRALES, NM 87048-1446
(503) 891-9858
(505) 666-5532
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C1766
OR
101Y00000X
Counselor
CCMH0223501
NM
101YM0800X
Mental Health Counselor
C1766
OR
101YM0800X
Mental Health Counselor
CCMH0223501
NM
101YP2500X
Professional Counselor
C1766
OR
101YP2500X
Professional Counselor
CCMH0223501
NM
106H00000X
Marriage & Family Therapist
CMF0223491
NM
106H00000X
Marriage & Family Therapist
Primary
T0482
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14237563
—
NM
05
—
TS900J2R
—
OR
Enumeration date
10/03/2006
Last updated
08/02/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us