Individual provider · Type 1 NPI

Stacie Elise Later

Mental Health Counselor · Logan, UT

NPI number 1568034114 Active

Practice location

115 Golf Course Rd Ste E
Logan, UT 84321-5934

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7886666-3506 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1568034114

Stacie Elise Later's National Provider Identifier is 1568034114, issued on Jul 13, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Logan, UT. The record was last updated on Jul 13, 2021.