Individual provider · Type 1 NPI

Kristina Renee Stanis, BA, SAC-IT

Addiction (Substance Use Disorder) Counselor · Beloit, WI

NPI number 1124682679 Active

Practice location

2240 Prairie Ave
Beloit, WI 53511-2648

Fax (608) 361-7201

Mailing address

513 Shirland Ave
Beloit, WI 53511-6149

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18856-130 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124682679

Kristina Renee Stanis, BA, SAC-IT's National Provider Identifier is 1124682679, issued on Apr 30, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Beloit, WI. The record was last updated on Apr 30, 2019.