Individual provider · Type 1 NPI

John Leroy Stacy Jr., CSAC, LPC

Professional Counselor · Norfolk, VA

NPI number 1306182795 Active

Practice location

1216 Granby St Ste 211
Norfolk, VA 23510-2622

Call (757) 632-0343 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0710102681 (VA)
Professional Counselor Primary 101YP2500X0701006465 (VA)

Professional Counselor: Definition to come...

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About NPI 1306182795

John Leroy Stacy Jr., CSAC, LPC's National Provider Identifier is 1306182795, issued on Dec 12, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Norfolk, VA. The record was last updated on Apr 17, 2024.