Doctor Name: | MS. DIANE LOIS STELLINI |
NPI Number: | 1629222039 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC, NCC |
License Number: | 6401010319 |
Business Practice Address: | 6770 Dixie Hwy. Ste. 312 Clarkston, MI - 48346 |
Business Phone Number: | 2489222300 |
Business Fax Number: | |
Mailing Address: | 7192 Pine Knob Rd, CLARKSTON |
State: | MI |
Postal Code: | 483484824 |
Phone Number: | 2485340866 |
Fax Number: | |
NPI Enumeration Date: | 11/12/2008 |
NPI Last Update Date: | 05/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401010319 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |