Individual
MS. ILIANA STAVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
601 E 5TH ST, SUITE 400, CHARLOTTE, NC 28202-3031
(704) 332-9034
(704) 373-1604
Mailing address
601 E 5TH ST, SUITE 400, CHARLOTTE, NC 28202-3031
(704) 332-9034
(704) 373-1604
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7350
NC
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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