Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | 616489 | MD |
NPI | 1154889202 |
---|---|
Provider Name | Allison Stenson |
First Address | Prince Frederick, MD 20678-7528 |
Second Address | Prince Frederick, MD 20678-6128 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2019 |
Last Update Date | 08/08/2021 |