Individual
DR. COURTNEY LEIGH STIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LMFT
Contact information
Practice address
1717 W CANDLETREE DR, SUITE B, PEORIA, IL 61614-1592
(501) 593-3069
Mailing address
1717 W CANDLETREE DR, SUITE B, PEORIA, IL 61614-1592
(501) 593-3069
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
A0710079
AR
101YP2500X
Professional Counselor
P1010069
AR
106H00000X
Marriage & Family Therapist
Primary
166001031
IL
106H00000X
Marriage & Family Therapist
A1101007
AR
Other
Enumeration date
11/06/2007
Last updated
10/24/2016
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