Provider Demographics
NPI:1336962695
Name:STATON, SUNNI C (LPCC)
Entity type:Individual
Prefix:
First Name:SUNNI
Middle Name:C
Last Name:STATON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:SUNNI
Other - Middle Name:C
Other - Last Name:BICKFORD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPCC
Mailing Address - Street 1:92 OAK RIDGE CT SUITE 1
Mailing Address - Street 2:
Mailing Address - City:PRESTONSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41653
Mailing Address - Country:US
Mailing Address - Phone:606-309-8993
Mailing Address - Fax:
Practice Address - Street 1:92 OAK RIDGE CT SUITE 1
Practice Address - Street 2:
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653
Practice Address - Country:US
Practice Address - Phone:606-309-8993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY293109101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health