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Krysten Lee Stanton

Counselor in Grass Valley, CA. Individual provider (NPI-1).

NPI number1669966792
StatusActive
Last updated in NPPESJun 28, 2018

Details

NPI
1669966792
Entity type
Individual (NPI-1)
Name
Krysten Lee Stanton
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 21, 2018
Last updated
Jun 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes
101YM0800X Counselor, Mental Health––

Practice location

714 W Main St
Grass Valley, CA 95945

Phone 530-477-9800 · Fax 530-477-9803

Mailing address

714 W Main St
Grass Valley, CA 95945-6410

Phone 530-477-9800 · Fax 530-477-9803

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