Individual
CHRISTINE STOUTENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6842 GRAND HICKORY DR, BRASELTON, GA 30517-6246
(630) 890-7824
Mailing address
111 N COUNTY FARM RD, WHEATON, IL 60187-3977
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
178.019104
IL
101YP2500X
Professional Counselor
Primary
LPC014541
GA
Other
Enumeration date
02/22/2012
Last updated
06/03/2025
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