Doctor Name: | MS. STEPHANIE A SUTTON |
NPI Number: | 1003104829 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 2048 |
Business Practice Address: | 501 S Santa Fe Ave Suite 300 Salina, KS - 674014189 |
Business Phone Number: | 7854524930 |
Business Fax Number: | 7854524932 |
Mailing Address: | 501 S Santa Fe Ave, Suite 300 SALINA |
State: | KS |
Postal Code: | 674014189 |
Phone Number: | 7854524930 |
Fax Number: | 7854524932 |
NPI Enumeration Date: | 07/13/2011 |
NPI Last Update Date: | 07/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2048 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |