Individual
GEORGIA D STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1400 BARBARA LOOP SE STE H, RIO RANCHO, NM 87124-1088
(505) 891-1583
Mailing address
4004 CARLISLE BLVD NE STE A2, ALBUQUERQUE, NM 87107-4566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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