Individual
ALICIA DAWN STELLWAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC, MAC, AADC
Contact information
Practice address
47 SHENANDOAH DR, DAVISVILLE, WV 26142-1003
(304) 488-7898
Mailing address
47 SHENANDOAH DR, DAVISVILLE, WV 26142-1003
(304) 488-7898
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
301125
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
10-302
WV
101YA0400X
Addiction (Substance Use Disorder) Counselor
509209
—
101YP2500X
Professional Counselor
Primary
1951
WV
Other
Enumeration date
04/10/2008
Last updated
06/06/2024
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