Stephen Christpher Mack in Taos - Addiction (substance Use Disorder)

Stephen Christpher Mack - NPI 1871545103

Stephen Christpher Mack is a Addiction (substance Use Disorder) in Taos, New Mexico. Stephen Christpher Mack practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Stephen Christpher Mack is 1871545103. The last update date is 2015-03-19.

Stephen Christpher Mack's current location address is 413 Sipapu Rd, Taos, New Mexico. You can contact this provider via phone number 5057585857 and fax number 5057582832. The mailing address for Stephen Christpher Mack is 413 Sipapu Rd, Taos, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Christpher Mack
Address 413 Sipapu Rd, Taos, New Mexico
Phone Number 5057585857
Fax Number 5057582832
Sole Proprietor N
Credentials LSAA

NPI Number Detail

NPI Number 1871545103
Provider Enumeration Date 2006-05-16
Last Updated Date 2015-03-19

Provider Mailing Address Detail

Address 413 Sipapu Rd
City Taos
State New Mexico (NM)
Post Code 875710
Phone Number 5057585857
Fax Number 5057582832

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 5761
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Stephen Christpher Mack

What is the unique provider identifier assigned to Stephen Christpher Mack?

The Stephen Christpher Mack has been issued the NPI (National Provider Identifier) 1871545103 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Stephen Christpher Mack's facilities are geographically located?

The facilities of Stephen Christpher Mack are physically situated at the following location: 413 Sipapu Rd, Taos, NM, 875710.

What is Stephen Christpher Mack's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Stephen Christpher Mack is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.

On what date did the Stephen Christpher Mack receive its 1871545103 assignment from the Centers for Medicare & Medicaid Services?

The Stephen Christpher Mack was assigned its 1871545103 by the Centers for Medicare & Medicaid Services on 2006-05-16.

When was the Stephen Christpher Mack's information last updated?

The Stephen Christpher Mack's information was last updated on 2015-03-19.

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