Provider Demographics
NPI:1477780468
Name:MCDONNELL-STALNAKER, HEATHER JO (LPC)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:JO
Last Name:MCDONNELL-STALNAKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 BENONI AVE
Mailing Address - Street 2:HUTCHINSON PROFESSIONAL SUITES, SUITE 302
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-0000
Mailing Address - Country:US
Mailing Address - Phone:304-363-4265
Mailing Address - Fax:
Practice Address - Street 1:701 BENONI AVE
Practice Address - Street 2:HUTCHINSON PROFESSIONAL SUITES,SUITE 302
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-0000
Practice Address - Country:US
Practice Address - Phone:304-363-4265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1931101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor