Individual
ANASTASIA STALIAS-TIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MA
Contact information
Practice address
5900 PORTAGE RD, PORTAGE, MI 49002-1774
(269) 718-3366
Mailing address
5900 PORTAGE RD, PORTAGE, MI 49002-1774
(269) 888-3206
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401224086
MI
101YP2500X
Professional Counselor
6401224086
MI
Other
Enumeration date
09/19/2013
Last updated
05/09/2024
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