Individual provider · Type 1 NPI

Stacy J. Bauman, M.S., LPC-INTERN

Mental Health Counselor · Richardson, TX

NPI number 1174871883 Active

Practice location

275 W Campbell Rd
Richardson, TX 75080-3601

Call (817) 939-6308 Map

Mailing address

6725 Cambrian Way
Fort Worth, TX 76137-6603

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X66347 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1174871883

Stacy J. Bauman, M.S., LPC-INTERN's National Provider Identifier is 1174871883, issued on Aug 28, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richardson, TX. The record was last updated on Aug 28, 2012.