| Vicki K Stiles Lpcc | |
|
580 State Hwy 518 Mora NM 87732 | |
| (575) 387-5165 | |
| Not Available |
| Full Name | Vicki K Stiles Lpcc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 580 State Hwy 518, Mora, New Mexico |
| Authorized Official Name and Position | Vicki Kaye Stiles (OWNER) |
| Authorized Official Contact | 5753875165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vicki K Stiles Lpcc Hc 34 Box 2gg Sapello NM 87745-9501 Ph: (575) 387-5165 | Vicki K Stiles Lpcc 580 State Hwy 518 Mora NM 87732 Ph: (575) 387-5165 |
| NPI Number | 1194055624 |
|---|---|
| Provider Enumeration Date | 01/06/2010 |
| Last Update Date | 01/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194055624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0115881 (New Mexico) | Primary |
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