Individual provider · Type 1 NPI
Kristy Lynn Stougaard, LPC
Professional Counselor · Grand Rapids, MI
NPI number
1053562736
Active
Practice location
300 68th St SE
Grand Rapids, MI 49548-6927
Fax (616) 258-7432
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401010480 (MI) |
Professional Counselor: Definition to come...
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About NPI 1053562736
Kristy Lynn Stougaard, LPC's National Provider Identifier is 1053562736, issued on Oct 1, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 29, 2020.