Individual provider · Type 1 NPI

Stacy Sloan Shoup, CCDC1

Addiction (Substance Use Disorder) Counselor · Mansfield, OH

NPI number 1093865818 Active

Practice location

270 Sterkel Blvd
Mansfield, OH 44907-1508

Call (419) 526-6168 Map

Fax (419) 526-2753

Mailing address

1329 Bellview Dr
Mansfield, OH 44905-1615

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X975906 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1093865818

Stacy Sloan Shoup, CCDC1's National Provider Identifier is 1093865818, issued on Jan 12, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mansfield, OH. The record was last updated on Jul 8, 2007.