Individual
MRS. ELISSA L STULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
750 BOWLING LN, WAUPACA, WI 54981-7707
(157) 201-2758
(715) 204-7151
Mailing address
750 BOWLING LN, WAUPACA, WI 54981-7707
(715) 201-2758
(715) 204-7151
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
844-124
WI
Other
Enumeration date
09/01/2010
Last updated
01/06/2025
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