Individual
DANIEL H STILLWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LMFT
Contact information
Practice address
1515 MOCKINGBIRD LN STE 540, CHARLOTTE, NC 28209-3297
(980) 552-0083
Mailing address
1935 E WOODLAWN RD APT C, CHARLOTTE, NC 28209-2241
(859) 509-7088
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1788
NC
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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