Doctor Name: | MRS. MARLEE LYNN STEFANELLI |
NPI Number: | 1639387665 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC, RD, LDN |
License Number: | PC004617 |
Business Practice Address: | 235 Main St Blakely, PA - 184471233 |
Business Phone Number: | 5709547181 |
Business Fax Number: | |
Mailing Address: | 235 Main St, BLAKELY |
State: | PA |
Postal Code: | 184471233 |
Phone Number: | 5709547181 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC004617 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |