Individual provider · Type 1 NPI

Connie Stacy, MED

Mental Health Counselor · Corbin, KY

NPI number 1104130392 Active

Practice location

1203 American Greeting Card Rd
Corbin, KY 40701-4811

Call (606) 528-7010 Map

Mailing address

PO Box 568
Corbin, KY 40702-0568

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPCA 1092 (KY)

Mental Health Counselor: Definition to come...

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About NPI 1104130392

Connie Stacy, MED's National Provider Identifier is 1104130392, issued on Jul 30, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Corbin, KY. The record was last updated on Jul 30, 2010.