Individual provider · Type 1 NPI

Stacy L. Paul, MA, LPC, LICAC

Professional Counselor · Phoenix, AZ

NPI number 1063505014 Active

Practice location

4451 E Oak St
Phoenix, AZ 85008-2410

Call (602) 685-6000 Map

Fax (602) 508-4492

Mailing address

3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLISAC1626 (AZ)
Professional Counselor Primary 101YP2500XLPC2397 (AZ)

Professional Counselor: Definition to come...

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About NPI 1063505014

Stacy L. Paul, MA, LPC, LICAC's National Provider Identifier is 1063505014, issued on Oct 2, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 2, 2026.