Provider Demographics
NPI:1386050391
Name:STUBLEFIELD, APRIL (PLPC)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:STUBLEFIELD
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1348 N BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65802-1704
Mailing Address - Country:US
Mailing Address - Phone:417-350-2586
Mailing Address - Fax:
Practice Address - Street 1:1348 N BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65802-1704
Practice Address - Country:US
Practice Address - Phone:417-414-0730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014012318101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor