Provider Demographics
NPI:1558672071
Name:STELLARD, BARBARA CHRISTINE (LPC)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:CHRISTINE
Last Name:STELLARD
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 1:427 SEMINOLE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49444-3747
Mailing Address - Country:US
Mailing Address - Phone:231-739-8800
Mailing Address - Fax:231-739-8805
Practice Address - Street 1:427 SEMINOLE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49444-3747
Practice Address - Country:US
Practice Address - Phone:231-739-8800
Practice Address - Fax:231-739-8805
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401000082101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional