Individual
KRISTA GUNSALUS STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
1140 SAM NEWELL RD STE B2, MATTHEWS, NC 28105-5065
(980) 277-2301
Mailing address
7805 MAPLEWOOD LN, WAXHAW, NC 28173-8954
(765) 618-0987
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12141A
NC
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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