Provider Demographics
NPI:1093102972
Name:ECHEVARRIA, STACY REBECCA (LPCC)
Entity type:Individual
Prefix:MS
First Name:STACY
Middle Name:REBECCA
Last Name:ECHEVARRIA
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9501 CARGO AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-6406
Mailing Address - Country:US
Mailing Address - Phone:505-582-6784
Mailing Address - Fax:
Practice Address - Street 1:9501 CARGO AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-6406
Practice Address - Country:US
Practice Address - Phone:505-582-6784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-18
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health