Individual
MS. JAYNE E STELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRP
Contact information
Practice address
10770 N 46TH STREET, STE. A400, TAMPA, FL 33617
(813) 610-3242
Mailing address
3611 W. RENELLIE CIRCLE, TAMPA, FL 33629
(813) 610-3242
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
166596
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166596
CERTIFIED PSYCHIATRIC PRA
CT
Enumeration date
10/05/2006
Last updated
07/08/2007
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