Provider Demographics
NPI:1326336710
Name:STENDER, MARIAELENA (LPCC)
Entity type:Individual
Prefix:
First Name:MARIAELENA
Middle Name:
Last Name:STENDER
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 1:1213 SMEDLEY RD
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-9536
Mailing Address - Country:US
Mailing Address - Phone:575-342-1728
Mailing Address - Fax:
Practice Address - Street 1:1213 SMEDLEY RD
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-9536
Practice Address - Country:US
Practice Address - Phone:575-342-1728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-19
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMT-0141081101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM55603084Medicaid