Individual
JUDITH ANN STUBANAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
270 HORIZON DR, RALEIGH, NC 27615-4922
(919) 845-0623
(919) 488-1716
Mailing address
260 HORIZON DR, RALEIGH, NC 27615-4922
(919) 488-0015
(919) 277-0066
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8590
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6115165
—
NC
Enumeration date
10/04/2012
Last updated
05/27/2016
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