Individual
STEPHANNE CLINE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAC, LCSW, LICSW
Contact information
Practice address
1 PLAYERS CLUB DR, SUITE 301, CHARLESTON, WV 25311-1639
(706) 254-9183
Mailing address
1 PLAYERS CLUB DR, SUITE 301, CHARLESTON, WV 25311-1639
(706) 254-9183
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
106912
WV
1041C0700X
Clinical Social Worker
160
CO
1041C0700X
Clinical Social Worker
3748
GA
1041C0700X
Clinical Social Worker
Primary
DP00944073
WV
Other
Enumeration date
08/23/2005
Last updated
05/09/2016
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