Doctor Name: | MRS. ANTONIA MARIE STIGALL |
NPI Number: | 1629200217 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | RC 60046260 |
Business Practice Address: | 2142 W Railroad Ave Shelton, WA - 985847813 |
Business Phone Number: | 3609154356 |
Business Fax Number: | 3604277980 |
Mailing Address: | 2142 W Railroad Ave, SHELTON |
State: | WA |
Postal Code: | 985847813 |
Phone Number: | 3609154356 |
Fax Number: | 3604277980 |
NPI Enumeration Date: | 08/14/2009 |
NPI Last Update Date: | 08/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | RC 60046260 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |