Individual
CARRIE RENEE STILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMLP
Contact information
Practice address
1202 E 23RD ST, LAWRENCE, KS 66046-4101
(913) 444-2014
Mailing address
1314 INDEPENDENCE CT, LEAVENWORTH, KS 66048-4739
(816) 604-9882
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LMLP 2740
KS
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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