Individual
MS. ANASTACIA STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LMFT
Contact information
Practice address
7373 WEST LN, STOCKTON, CA 95210-3377
(209) 476-2000
Mailing address
7373 WEST LN, STOCKTON, CA 95210-3377
(209) 476-2000
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
87417
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000007GW
—
CA
Enumeration date
08/05/2009
Last updated
04/12/2024
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