Doctor Name: | MRS. CHARLOTTE A STANTON |
NPI Number: | 1144661182 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LMHP |
License Number: | 4193 |
Business Practice Address: | 8536 Granville Pkwy Apt 836 La Vista, NE - 681282465 |
Business Phone Number: | 4025071029 |
Business Fax Number: | |
Mailing Address: | 8536 Granville Pkwy Apt 836, LA VISTA |
State: | NE |
Postal Code: | 681282465 |
Phone Number: | 4025071029 |
Fax Number: | |
NPI Enumeration Date: | 07/06/2013 |
NPI Last Update Date: | 07/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4193 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |