Individual
SHEILA ANN STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
226 W 2ND ST, PORTALES, NM 88130-6232
(575) 714-3410
Mailing address
518 E 18TH ST, PORTALES, NM 88130-9268
(575) 714-3410
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C-07223
NM
103TS0200X
School Psychologist
—
NM
104100000X
Social Worker
C-07223
NM
1041C0700X
Clinical Social Worker
Primary
C-07223
NM
1041S0200X
School Social Worker
C-07223
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71658289
—
NM
Enumeration date
04/10/2008
Last updated
05/02/2017
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