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Contact Information

KELLESHA K STINSON, LCDC
6306 WINDCREST DR APT 1733
PLANO, TX75024-3028
 Phone: 903-949-1051
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Case Manager/Care Coordinator

171M00000X
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KELLESHA K STINSON · (Female)

NPI Number 1982163788
Status Active
Credentials LCDC
Entity Individual
Enumeration date 03/19/2019
Last updated 03/19/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 11894
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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