Individual provider · Type 1 NPI
Chrystal Stephany, MA, LPC
Professional Counselor · Fond Du Lac, WI
NPI number
1942675236
Active
Practice location
N7640 Cty Rd Wh, Ste 200
Fond Du Lac, WI 54935-5493
Mailing address
N7640 Cty Rd Wh Ste 200
Fond Du Lac, WI 54937-2526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16445 (WI) |
| Professional Counselor Primary | 101YP2500X | 6151-125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1942675236
Chrystal Stephany, MA, LPC's National Provider Identifier is 1942675236, issued on Dec 11, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fond Du Lac, WI. The record was last updated on Oct 11, 2019.