Individual
MRS. KRISTINA RENEE STANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, SAC-IT
Contact information
Practice address
2240 PRAIRIE AVE, BELOIT, WI 53511-2648
(608) 361-7200
(608) 361-7201
Mailing address
513 SHIRLAND AVE, BELOIT, WI 53511-6149
(815) 708-5064
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18856-130
WI
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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