Individual
EMILY ANNE STEFANIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, MS, PA-C
Contact information
Practice address
114 ORCHARD LAKE RD, PONTIAC, MI 48341-2244
(248) 858-7766
Mailing address
114 ORCHARD LAKE RD, PONTIAC, MI 48341-2244
(488) 587-7766
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401010918
MI
363A00000X
Physician Assistant
Primary
5601008831
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1883825
—
MI
Enumeration date
09/24/2010
Last updated
12/04/2019
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