Individual provider · Type 1 NPI
Stacey M. Bevilacqua, LMHC, CASAC, MA
Mental Health Counselor · Orchard Park, NY
NPI number
1619073756
Active
Practice location
6099 New Taylor Rd, Right Side
Orchard Park, NY 14127-2385
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22894 (NY) |
| Mental Health Counselor Primary | 101YM0800X | 004210-01 (NY) |
Mental Health Counselor: Definition to come...
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- Kelly A. Thompson, LICENSED MENTAL HEALMental Health Counselor Orchard Park, NY NPI 1114449709
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About NPI 1619073756
Stacey M. Bevilacqua, LMHC, CASAC, MA's National Provider Identifier is 1619073756, issued on Sep 16, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orchard Park, NY. The record was last updated on Mar 22, 2023.