| Doctor Name: | MS. CHARISSE ASTBURY STANKO |
| NPI Number: | 1033206321 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | CC1101 |
| Business Practice Address: | 226 High St Ellsworth, ME - 046051742 |
| Business Phone Number: | 2076674655 |
| Business Fax Number: | 2076672650 |
| Mailing Address: | Po Box 245, BLUE HILL |
| State: | ME |
| Postal Code: | 046140245 |
| Phone Number: | 2073745004 |
| Fax Number: | 2076672650 |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | CC1101 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |