Individual
VICKI K STILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
714 COLUMBIA ST, LAS VEGAS, NM 87701-4228
(505) 425-9062
Mailing address
HC 34 BOX 2GG, SAPELLO, NM 87745
(505) 425-9062
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0115881
NM
Other
Enumeration date
12/02/2008
Last updated
01/29/2014
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