Individual provider · Type 1 NPI

Stacy Lynne Kailher

Addiction (Substance Use Disorder) Counselor · Brockton, MA

NPI number 1245758531 Active

Practice location

10 Meadowbrook Rd
Brockton, MA 02301-7122

Mailing address

72 Kilburn St
New Bedford, MA 02740-7321

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1245758531

Stacy Lynne Kailher's National Provider Identifier is 1245758531, issued on Sep 7, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brockton, MA. The record was last updated on Apr 1, 2019.