Individual
MRS. STEPHANIE FOWLER STAUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3121 BROOKLAWN CAMPUS DR, LOUISVILLE, KY 40218-1282
(502) 548-6361
Mailing address
3121 BROOKLAWN CAMPUS DR, LOUISVILLE, KY 40218-1282
(502) 548-6361
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
252770
KY
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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