Individual
MS. JUDITH O STANSBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC/MHSP
Contact information
Practice address
109 STEKOIA LN, KNOXVILLE, TN 37912-1608
(865) 938-4381
(865) 938-4382
Mailing address
PO BOX 50834, KNOXVILLE, TN 37950-0834
(865) 938-4381
(865) 938-4382
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000000680
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1065067
CIGNA
TN
01
—
1221702
CHA HEALTH
TN
01
—
245446
UNITED BEHAVIORAL HEALTH
TN
01
—
247699
COMPSYCH
TN
01
—
270035000
MAGELLAN
TN
01
—
359712
MHN
TN
01
—
4251971
BCBS
TN
01
—
501106
VALUE OPTIONS
TN
01
—
620547289R2
JOHN DEERE HERITAGE
TN
01
—
7679319
AETNA
TN
Enumeration date
07/28/2005
Last updated
08/30/2011
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