Most Relevant Information
Provider Data
| NPI Number: | 1003061946 |
| Provider Name: | SHELLEY SUE STISSER LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | LPC12877 |
Most Important Dates
| Enumeration Date: | 11/19/2008 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
8205 SPAIN RD NE STE 106
ALBUQUERQUE
NM
871093155
Practice Location Phone/Fax
| Phone: | 5058560300 |
| Fax: | 5058567946 |
Provider Mailing Location
9342 S 182ND LN
GOODYEAR
AZ
853385254
Provider Mailing Phone/Fax
| Phone: | 6238107266 |
| Fax: | 6233211378 |