Individual provider · Type 1 NPI

Stacy Havard

Mental Health Counselor · Vidalia, LA

NPI number 1154793313 Active

Practice location

1644 B Carter St
Vidalia, LA 71373

Call (318) 414-3065 Map

Fax (318) 414-3067

Mailing address

1644 B Carter Street., Ste 2
Vidalia, LA 71373

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1154793313

Stacy Havard's National Provider Identifier is 1154793313, issued on Oct 28, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vidalia, LA. The record was last updated on Oct 28, 2015.