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 |