Individual
ISABELLE DENTON STAGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A0808052
AR
101YP2500X
Professional Counselor
Primary
P1112096
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116399726
—
AR
Enumeration date
03/05/2008
Last updated
01/20/2017
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