Individual
CHASITI STAKELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1690 RING RD STE 130, ELIZABETHTOWN, KY 42701-4431
(502) 596-1389
Mailing address
1690 RING RD STE 130, ELIZABETHTOWN, KY 42701-4431
(502) 596-1389
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
174456
KY
101Y00000X
Counselor
Primary
274604
KY
Other
Enumeration date
01/16/2019
Last updated
04/21/2022
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