Individual
STEPHANIE RENAE CLASSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. LMFT
Contact information
Practice address
9516 RIVIERA DR, WACO, TX 76712-8443
(254) 498-0998
Mailing address
9516 RIVIERA DR, WACO, TX 76712-8443
(254) 498-0998
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
5225
TX
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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