Individual
DR. STEPHANIE KATE WILLISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2013 ELM ST, PASTORAL COUNSELING SERVICES, MANCHESTER, NH 03104-2528
(603) 627-2702
(603) 627-3643
Mailing address
875 CHESTNUT ST, MANCHESTER, NH 03104-2522
(603) 622-5561
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
987
NH
106H00000X
Marriage & Family Therapist
Primary
17
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304 20550
—
NH
Enumeration date
12/01/2006
Last updated
09/11/2025
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