Provider Demographics
NPI:1649569401
Name:STENSAAS, ADRIANNE M (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ADRIANNE
Middle Name:M
Last Name:STENSAAS
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 1:482 MUDDY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:WY
Mailing Address - Zip Code:82834-9621
Mailing Address - Country:US
Mailing Address - Phone:307-247-3338
Mailing Address - Fax:307-684-8960
Practice Address - Street 1:482 MUDDY CREEK RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:WY
Practice Address - Zip Code:82834-9621
Practice Address - Country:US
Practice Address - Phone:307-247-3338
Practice Address - Fax:307-684-8960
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY962101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional