Stakely, Christina
Stakely, Christina is an individual health care provider with primary practice located at 2734 Commerce Rd , Jacksonville NC 28546. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Stakely, Christina can be contacted via phone (910) 799-1071.Contact Information
Primary practice address
2734 Commerce Rd
Jacksonville NC 28546
Phone: (910) 799-1071
Fax: (910) 799-3313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1145 | North Carolina |
Profile Details
| NPI number | 1720109812 |
|---|---|
| LBN Legal business name | Stakely, Christina |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Aug 31st, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720109812 | NPPES |
| North Carolina | MEDICAID | 6105134 |
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