Individual
PHYLLIS STINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSLER
Contact information
Practice address
920 FREDERICA ST, STE#407, OWENSBORO, KY 42301-3050
(270) 683-7555
(812) 359-4481
Mailing address
920 FREDERICA ST, STE#407, OWENSBORO, KY 42301-3050
(270) 683-7555
(812) 359-4481
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
KY- 0658
KY
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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