JAMES INGRAHAM STAKE

SANTA FE, NM
NPI1710611306
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: NM  CTB-2022-0148)
Enumeration Date2022-07-11
Last Update Date2022-07-17
Business Address
JAMES INGRAHAM STAKE MA, PHIL
123 MESA VERDE ST
SANTA FE, NM 87501-1729
Phone number: 505-490-6125
Mailing Address
JAMES INGRAHAM STAKE MA, PHIL
123 MESA VERDE ST
SANTA FE, NM 87501-1729
Phone number: