# CRISTIN STICE CONSULTING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528657632
- **Authorized official:** CRISTIN L. STICE LSCSW (SOLE MEMBER)
- **Authorized official phone:** (913) 205-2486

## Contact information

- **Practice address:** 13829 GROVE AVE, BONNER SPRINGS, KS 66012-9685
- **Practice address phone:** (913) 205-2486
- **Mailing address:** 13829 GROVE AVE, BONNER SPRINGS, KS 66012-9685
- **Mailing address phone:** (913) 205-2486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2021
- **Last updated:** 01/13/2021