Provider Demographics
NPI:1265268932
Name:STANSELL, CARRIE ANN (LMHCA)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:ANN
Last Name:STANSELL
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:ANN
Other - Last Name:PATERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHCA
Mailing Address - Street 1:7020 NE DOLPHIN DR
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE IS
Mailing Address - State:WA
Mailing Address - Zip Code:98110-1050
Mailing Address - Country:US
Mailing Address - Phone:541-581-0439
Mailing Address - Fax:
Practice Address - Street 1:271 WYATT WAY NE STE 200
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-2873
Practice Address - Country:US
Practice Address - Phone:541-581-0439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60243918101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health