Individual
CAROLYN JANE STUBBLEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC-S
Contact information
Practice address
4800 W LOVERS LN APT 118, DALLAS, TX 75209-3146
(214) 542-5642
Mailing address
1412 MAIN ST STE 613, DALLAS, TX 75202-4125
(214) 542-5642
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
62980
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750824991
—
TX
Enumeration date
10/04/2011
Last updated
09/27/2024
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