Kristen Nichole Stidham, BS MS

NPI #1427196724 in Big Stone Gap, Virginia

Provider Information

NPI Number: 1427196724
Entity Type: Individual
Name: Kristen Nichole Stidham, BS MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: BS MS
Enumeration Date: Feb 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3169 2ND AVE E
Address 2: WCB # 3
City: Big Stone Gap
State: Virginia
ZIP Code: 24219
Phone: (276) 523-8360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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