Individual
TAMMY KAY STUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
120 PROFESSIONAL PL STE 101, BRIDGEPORT, WV 26330-4599
(304) 513-3495
Mailing address
801 47TH AVE N, MYRTLE BEACH, SC 29577-5402
(843) 997-1538
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3059
WV
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
6487
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376241
—
SC
Enumeration date
08/03/2012
Last updated
04/15/2026
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