Individual
AIMEE STAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
34006830A
IN
101YS0200X
School Counselor
Primary
34006830A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000846130
ANTHEM BCBS
IN
Enumeration date
11/15/2013
Last updated
11/19/2021
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