Individual
CARISSA STALNAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 SW 18TH ST STE 3, BENTONVILLE, AR 72712-8478
(479) 235-6406
Mailing address
6104 SW MEADOW WELL AVE, BENTONVILLE, AR 72713-8777
(479) 235-6406
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A2007100
AR
Other
Enumeration date
07/31/2020
Last updated
04/24/2023
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