Individual
STACY LYNN WHISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
1117 HARRISON LN, HURST, TX 76053-4511
(817) 781-8549
Mailing address
1117 HARRISON LN, HURST, TX 76053-4511
(817) 781-8549
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
67543
TX
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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