Individual
MR. JOHN STANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
559 VINCENT ST, COLORADO SPRINGS, CO 80914-1541
(719) 556-7804
Mailing address
559 VINCENT ST, COLORADO SPRINGS, CO 80914-1541
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33758
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176395501
—
TX
Enumeration date
06/14/2006
Last updated
03/23/2021
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