| Doctor Name: | LORI DIANNE ST.AMA |
| NPI Number: | 1104061928 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 62093 |
| Business Practice Address: | 205 Center Ave Brownwood, TX - 768012919 |
| Business Phone Number: | 3256494357 |
| Business Fax Number: | 3256460919 |
| Mailing Address: | Po Box 1391, BROWNWOOD |
| State: | TX |
| Postal Code: | 768041391 |
| Phone Number: | 3256494357 |
| Fax Number: | 3256460919 |
| NPI Enumeration Date: | 12/08/2008 |
| NPI Last Update Date: | 05/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 62093 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |