Individual
MANDY STANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT/LAC
Contact information
Practice address
3352 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 521-5731
(479) 521-6520
Mailing address
3352 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 521-1427
(479) 521-6520
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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