Individual
JANINE D STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2426 E HAWKEN WAY, CHANDLER, AZ 85286-1509
(480) 772-2457
Mailing address
2426 E HAWKEN WAY, CHANDLER, AZ 85286-1509
(480) 772-2457
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14503
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14503
STATE LICENSE
AZ
Enumeration date
02/06/2014
Last updated
10/15/2014
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