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NPI Code Detail

MEDICARE: SANDRA STINNETT LPC

MEDICARE: SANDRA STINNETT LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0701000880VA

General Provider Information

NPI Number : 1871995084
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA STINNETT LPC
Provider Business Mailing Address
First Line : 120 JACKSON RIVER RD
Second Line : PO BOX 490
City : MONTEREY
State : VA
Zip : 24465-2416
Country : US
Telephone Number : 540-468-3300
Fax Number : 540-468-3300
Provider Business Practice Location Address
First Line : 120 JACKSON RIVER RD
Second Line :
City : MONTEREY
State : VA
Zip : 24465-2416
Country : US
Telephone Number : 540-468-3300
Fax Number : 540-468-3300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2014
Last Update Date : 09/18/2014

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Directions to “ SANDRA STINNETT LPC” Practice Location

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