Provider Demographics
NPI:1972645224
Name:FINNELL, STANLEY GEORGE (LPCC)
Entity Type:Individual
Prefix:MR
First Name:STANLEY
Middle Name:GEORGE
Last Name:FINNELL
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3814 TRAWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-8261
Mailing Address - Country:US
Mailing Address - Phone:505-434-3622
Mailing Address - Fax:505-434-3530
Practice Address - Street 1:909 S FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-5307
Practice Address - Country:US
Practice Address - Phone:505-434-3622
Practice Address - Fax:505-434-3630
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0065662101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health