Basic Information
| Provider Information | |||||||||
| NPI: | 1427308295 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STINSON | ||||||||
| FirstName: | BRANDEE | ||||||||
| MiddleName: | ALANE | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 401 WILDBROOK LN | ||||||||
| Address2: | |||||||||
| City: | HOOVER | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352166126 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2563742790 | ||||||||
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| Practice Location | |||||||||
| Address1: | 151 HAMILTON LN | ||||||||
| Address2: | |||||||||
| City: | CALERA | ||||||||
| State: | AL | ||||||||
| PostalCode: | 350408700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2056684308 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/19/2012 | ||||||||
| LastUpdateDate: | 09/19/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 2818 | AL | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.