Individual
MRS. STACIE LEA STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LLPC, CADC
Contact information
Practice address
407 E BROADWAY ST, MT PLEASANT, MI 48858-2649
(989) 560-4935
Mailing address
2101 OCONNOR DR, MT PLEASANT, MI 48858-9039
(989) 560-4935
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401013580
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-00962
MI
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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