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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 18856-130 (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.