Individual provider · Type 1 NPI
Kei'sharra Stacy
Mental Health Counselor · Long Beach, CA
NPI number
1497313027
Active
Practice location
161 W Victoria St
Long Beach, CA 90805-2175
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 88261 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1497313027
Kei'sharra Stacy's National Provider Identifier is 1497313027, issued on May 29, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Long Beach, CA. The record was last updated on May 29, 2019.