Individual provider · Type 1 NPI

Dewan Stanback

Mental Health Counselor · Maitland, FL

NPI number 1902423916 Active

Practice location

2700 Westhall Ln Ste 207
Maitland, FL 32751-7478

Mailing address

12723 N 57th St
Tampa, FL 33617-1257

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1902423916

Dewan Stanback's National Provider Identifier is 1902423916, issued on Jun 25, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Maitland, FL. The record was last updated on Jun 25, 2020.