Provider Demographics
NPI:1174872337
Name:ASCHENBRENNER, STELLA (MA, LPCC)
Entity type:Individual
Prefix:
First Name:STELLA
Middle Name:
Last Name:ASCHENBRENNER
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 COORS BLVD NW # 112R
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-1292
Mailing Address - Country:US
Mailing Address - Phone:505-228-4701
Mailing Address - Fax:
Practice Address - Street 1:3301 COORS BLVD NW # 112R
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-1292
Practice Address - Country:US
Practice Address - Phone:505-228-4701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0175141101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health