Individual
JOSEPH MICHAEL STANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
503 BRAKE RD, ELLISTON, VA 24087-4425
(860) 539-8706
(540) 404-4531
Mailing address
503 BRAKE RD, ELLISTON, VA 24087-4425
(860) 539-8706
(540) 404-4531
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
0717001550
VA
Other
Enumeration date
07/16/2019
Last updated
04/28/2020
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