Individual
CHANESSA STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2607 WELSH RD APT L305, PHILADELPHIA, PA 19114-3340
(302) 507-0392
Mailing address
2607 WELSH RD APT L305, PHILADELPHIA, PA 19114-3340
(302) 507-0392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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