| Doctor Name: | MS. MARIAH G. WINDSONG |
| NPI Number: | 1083637953 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LADAC INTERN |
| License Number: | 0087811 |
| Business Practice Address: | 413 Sipapu Road Taos, NM - 87571 |
| Business Phone Number: | 5057585857 |
| Business Fax Number: | 5057582832 |
| Mailing Address: | Po Box 3084, RANCHOS DE TAOS |
| State: | NM |
| Postal Code: | 87557 |
| Phone Number: | 3057511496 |
| Fax Number: | |
| NPI Enumeration Date: | 07/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 0087811 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |