Individual
KELLESHA K STINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
6306 WINDCREST DR APT 1733, PLANO, TX 75024-3028
(903) 949-1051
Mailing address
6306 WINDCREST DR APT 1733, PLANO, TX 75024-3028
(903) 949-1051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11894
TX
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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