Individual
TENNILLE STANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,LPC-IT,NCC
Contact information
Practice address
4305 OLD GREEN BAY RD, MOUNT PLEASANT, WI 53403-9425
(262) 822-8152
Mailing address
4305 OLD GREEN BAY RD, MOUNT PLEASANT, WI 53403-9425
(262) 221-8152
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7971-226
WI
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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