Individual
ISA STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
780 S WALNUT ST BLDG 5, LAS CRUCES, NM 88001-1425
(575) 636-9344
Mailing address
5382 SUPERSTITION DR, LAS CRUCES, NM 88011-2537
(575) 636-9344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CCMH0215761
NY
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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