Individual
ANN STANCIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 N MAIN ST, LA PORTE, IN 46350-6074
(219) 380-7879
Mailing address
PO BOX 222, KINGSBURY, IN 46345-0222
(219) 380-7879
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4007759A
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
4007759A
IN
101YM0800X
Mental Health Counselor
4007759A
IN
Other
Enumeration date
08/23/2025
Last updated
08/23/2025
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