Individual
MS. MICHELLE D PISTOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 N CHURCH ST STE B, BLOOMFIELD, NM 87413-5754
(505) 333-7219
Mailing address
100 N CHURCH ST STE B, BLOOMFIELD, NM 87413-5754
(505) 333-7219
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2025-0293
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01630229
—
NM
Enumeration date
08/30/2011
Last updated
06/18/2025
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