Doctor Name: | MARY LOUISE STINSON |
NPI Number: | 1134356686 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 0147381 |
Business Practice Address: | 3080 W 3rd St Elk City, OK - 736444323 |
Business Phone Number: | 5802255136 |
Business Fax Number: | |
Mailing Address: | Po Box 1212, ADA |
State: | OK |
Postal Code: | 748211212 |
Phone Number: | 5056035600 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2009 |
NPI Last Update Date: | 07/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0147381 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |