Individual
KENNETH R STIFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-3033
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001400
VA
Other
Enumeration date
08/12/2005
Last updated
03/13/2008
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