MEDICARE: SILVIA STENITZER MA, LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1922884816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SILVIA STENITZER MA, LPCC

Provider Business Mailing Address
First Line	:	2001 FORT UNION DR
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-7536
Country	:	US
Telephone Number	:	505-660-2961
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 FORT UNION DR
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-7536
Country	:	US
Telephone Number	:	505-660-2961
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2023
Last Update Date	:	09/06/2023

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