Kathryn Dianne Stephens, LPCC
Individual provider Active NPI Professional Counselor · Deming, NM
NPI 1013100668 · NPPES record last updated Oct 8, 2011
Key facts
- NPI
- 1013100668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0105311 (NM)
- Practice address
- 340 Solana Rd SE
Deming, NM 88030-7564 - Phone
- (575) 546-0708
- NPI assigned
- Aug 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0105311 | NM | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0105311 | NM | Yes |
Addresses
Primary practice location
340 Solana Rd SE
Deming, NM 88030-7564
Mailing address
340 Solana Rd SE
Deming, NM 88030-7564
Phone (575) 546-0708
Other providers in Deming, NM
- Southwest Therapeutics LLC
- Southwest Therapists Inc
- Mayra Srader
- St Martin de Porres Eye Clinic PC
- Brian A Stanton
- Stevens Chiropractic Center LLC
- Shannon Marie Stevens
- Mickie Lynn Stimpson
- Summit Healthcare LLC
- Summit Rehabilitation LLC
All providers in Deming, NM · Professional Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.