Individual
KURT MICHAEL STIEFVATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
10299 WOODMAN RD, GLEN ALLEN, VA 23060-4419
(804) 727-8500
(804) 727-8580
Mailing address
10299 WOODMAN RD, GLEN ALLEN, VA 23060-4419
(804) 727-8500
(804) 727-8580
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001675
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085726
SENTARA
VA
01
—
110324
ANTHEM
VA
01
—
4945131
VIRGINIA PREMIER
VA
Enumeration date
02/21/2007
Last updated
07/08/2007
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