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Individual

ANNETTE STANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA LPC

Contact information

Practice address
113 TRADEWYND DR STE B, LYNCHBURG, VA 24502-3112
(602) 633-4032
Mailing address
PO BOX 12404, GLENDALE, AZ 85318-2404
(602) 633-4032

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701014247
VA
101YP2500X
Professional Counselor
Primary
LPC-17015
AZ

Other

Enumeration date
02/09/2016
Last updated
11/07/2025
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