Individual
SHIRLEY STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1400 SUDDERTH DR, RUIDOSO, NM 88345-6103
(505) 247-7492
Mailing address
1400 SUDDERTH DR, RUIDOSO, NM 88345-6103
(575) 630-0571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
07/14/2023
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