Individual provider · Type 1 NPI

Kate Beverly Stacy

Mental Health Counselor · Vancouver, WA

NPI number 1225494867 Active

Practice location

1601 E 4th Plain Blvd, Bldg 17 Ste B222
Vancouver, WA 98661-3713

Call (360) 397-8484 Map

Fax (360) 397-8494

Mailing address

PO Box 1845
Vancouver, WA 98668-1845

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCO60619612 (WA)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1225494867

Kate Beverly Stacy's National Provider Identifier is 1225494867, issued on Jan 12, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Jan 12, 2016.