Healthcare Provider Details

I. General information

NPI: 1548039795
Provider Name (Legal Business Name): KAMIA STINSON ESQUERRA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAMIA JANEE STINSON

II. Dates (important events)

Enumeration Date: 12/29/2023
Last Update Date: 12/29/2023
Certification Date: 12/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4204 MILDRED AVE
KILLEEN TX
76549-3751
US

IV. Provider business mailing address

4204 MILDRED AVE
KILLEEN TX
76549-3751
US

V. Phone/Fax

Practice location:
  • Phone: 254-338-8937
  • Fax:
Mailing address:
  • Phone: 512-540-4035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number70370
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: