Individual provider · Type 1 NPI
Stacy Martin, LPC, LAC, CACI
Professional Counselor · Greenville, SC
NPI number
1407239585
Active
Practice location
301 Halton Rd Ste F
Greenville, SC 29607-3498
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 454 (SC) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1802226 (SC) |
| Professional Counselor Primary | 101YP2500X | 6779 (SC) |
Professional Counselor: Definition to come...
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About NPI 1407239585
Stacy Martin, LPC, LAC, CACI's National Provider Identifier is 1407239585, issued on Jul 7, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Greenville, SC. The record was last updated on Aug 14, 2023.