Individual provider · Type 1 NPI

Mariah Stacy

Counselor · San Diego, CA

NPI number 1013371517 Active

Practice location

2535 Kettner Blvd, Suite 1A4
San Diego, CA 92101-1250

Call (619) 615-0701 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XF1937412 (CA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1013371517

Mariah Stacy's National Provider Identifier is 1013371517, issued on Apr 11, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Diego, CA. The record was last updated on Apr 11, 2016.