Individual
KRISTI STACKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
985 FLORENCE RD, SAVANNAH, TN 38372-3484
(731) 727-8012
(731) 727-8013
Mailing address
985 FLORENCE RD, SAVANNAH, TN 38372-3484
(731) 727-8012
(731) 727-8013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
TN
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/25/2011
Last updated
11/18/2011
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