Individual
CYNTHIA BROWN STILTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, LCAS-A, LCMHCA
Contact information
Practice address
320 E LEE AVE, YADKINVILLE, NC 27055-8132
(336) 679-8805
(336) 679-3057
Mailing address
PO BOX 486, PINNACLE, NC 27043-0486
(336) 624-5788
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-20833
NC
101YM0800X
Mental Health Counselor
Primary
A15107
NC
101YP2500X
Professional Counselor
A15107
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016A3
DAYMARK GROUP BCBSNC PPN
NC
05
—
1053941120
—
NC
05
—
1558329243
—
NC
Enumeration date
01/17/2020
Last updated
04/27/2021
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