Individual provider · Type 1 NPI
Stacy E. Bettelon, LAC
Counselor · Phoenix, AZ
NPI number
1295563658
Active
Practice location
734 W Polk St
Phoenix, AZ 85007-2539
Mailing address
PO Box 401
Gilsum, NH 03448-0401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | LAC-19691 (AZ) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3 other providers at this address
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About NPI 1295563658
Stacy E. Bettelon, LAC's National Provider Identifier is 1295563658, issued on Jul 25, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 25, 2024.