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STEPHANIE GAYLE DONNELL LPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1144879685

Individual Registrant:
 STEPHANIE GAYLE DONNELL LPC
Gender: F
Sole Proprietor

Location and contact information for practice:
2307 SMISER ST  BUSHLAND, TX 79124-1198 US
Tel: 806-318-8054  Fax: 806-322-1166

Contact information for business:
PO BOX 521  BUSHLAND, TX 79012-0521 US
Tel: 806-673-8565  Fax: --

Registration Information:
NPI: 1144879685
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
TX78919

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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