Individual
STACEY ELLA KUNTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
848 RAM TRL SE, ALBUQUERQUE, NM 87123-3565
(505) 357-7381
Mailing address
848 RAM TRL SE, ALBUQUERQUE, NM 87123-3565
(505) 357-7381
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-CTL0215021
NM
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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