Individual
STACEY CADIGAN KALINOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
5511 MARIT DR, SANTA ROSA, CA 95409-3828
(415) 516-1642
Mailing address
5511 MARIT DR, SANTA ROSA, CA 95409-3828
(415) 516-1642
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011708
LPC
CO
01
—
8489
LPCC
CA
Enumeration date
03/15/2010
Last updated
09/05/2024
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