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

TaxonomyCodeLicense
Counselor Primary 101Y00000XLAC-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.

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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.