Individual
MISS STEFFANY DAWN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1709 W 7TH ST, CHANUTE, KS 66720-2505
(620) 432-5200
(620) 432-5222
Mailing address
1721 IDAHO RD, HUMBOLDT, KS 66748-1076
(316) 305-2695
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 897
KS
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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