Individual
MR. STEPHEN KENT JUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSAA
Contact information
Practice address
2300 YALE BLVD SE, ALBUQUERQUE, NM 87106-4273
(505) 304-2812
Mailing address
1 LOS RANCHOS RD UNIT 4, LOS LUNAS, NM 87031-8967
(505) 919-9681
(505) 919-9681
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2025-0947
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CTB-2025-0947
LSAA
NM
Enumeration date
01/07/2026
Last updated
01/07/2026
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