Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 2048 | KS |
NPI | 1003104829 |
---|---|
Provider Name | Ms. Stephanie A Sutton |
First Address | Salina, KS 67401-4189 |
Second Address | Salina, KS 67401-4189 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2011 |
Last Update Date | 13/07/2011 |