NPI Profile for KELLESHA K STINSON in PLANO, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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KELLESHA K STINSON
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