Individual provider · Type 1 NPI

Stacy Jo House, M.ED, NCC

Mental Health Counselor · Gonzales, LA

NPI number 1609180579 Active

Practice location

1112 S.e. Ascension Complex Avenue
Gonzales, LA 70737

Call (225) 621-1116 Map

Fax (225) 644-3208

Mailing address

1112 S.e. Ascension Complex
Gonzales, LA 70737

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCI 4621 (LA)

Mental Health Counselor: Definition to come...

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About NPI 1609180579

Stacy Jo House, M.ED, NCC's National Provider Identifier is 1609180579, issued on Aug 3, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gonzales, LA. The record was last updated on Aug 3, 2010.