Individual
KRISTY STALNAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW CRC
Contact information
Practice address
23 WABASH AVE, PHILIPPI, WV 26416-1262
(304) 457-1670
Mailing address
23 WABASH AVE, PHILIPPI, WV 26416-1262
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
123
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861562126
—
WV
Enumeration date
11/18/2010
Last updated
11/18/2010
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