| Doctor Name: | MRS. MADELEINE NOEL STEVENS |
| NPI Number: | 1053575753 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC, LPAT |
| License Number: | T-0112361 |
| Business Practice Address: | 301 Camino Del Pueblo Valle Del Sol Bernalillo, NM - 87004 |
| Business Phone Number: | 5058672383 |
| Business Fax Number: | 5058677273 |
| Mailing Address: | 9 Camino De San Felipe, PLACITAS |
| State: | NM |
| Postal Code: | 870439388 |
| Phone Number: | 5058672383 |
| Fax Number: | 5058677293 |
| NPI Enumeration Date: | 07/11/2008 |
| NPI Last Update Date: | 03/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | T-0112361 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |