Individual
KELLI RENEE STUBENHOFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1019 POYNTZ AVE STE C, MANHATTAN, KS 66502-6760
(785) 539-5455
(785) 776-7570
Mailing address
1019 POYNTZ AVE STE C, MANHATTAN, KS 66502-6760
(785) 539-5455
(785) 776-7570
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 2342
KS
106H00000X
Marriage & Family Therapist
T-LMFT 1237
KS
Other
Enumeration date
07/16/2011
Last updated
11/26/2011
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