Individual
ADELE STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, ATR-BC
Contact information
Practice address
1008 PENDLETON ST STE 1A, ALEXANDRIA, VA 22314-2182
(703) 596-9557
Mailing address
1008 PENDLETON ST STE 1A, ALEXANDRIA, VA 22314-2182
(703) 596-9557
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007203
VA
101YP2500X
Professional Counselor
—
—
221700000X
Art Therapist
—
—
Other
Enumeration date
06/29/2016
Last updated
11/03/2020
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