| NPI | 1467402230 |
|---|---|
| Other Name | MARYANN CROWDER STEFANCHIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6468) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH6468, CAP 1650) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2013-01-14 |