Individual
MRS. KARLA E STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LPC
Contact information
Practice address
3226 HOBBS RD STE 101, AMARILLO, TX 79109
(806) 679-0764
Mailing address
PO BOX 33016, AMARILLO, TX 79120-3016
(806) 679-0764
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
68322
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12681884
CAQH
—
05
—
320020601
—
TX
Enumeration date
05/20/2013
Last updated
07/11/2018
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