Individual provider · Type 1 NPI
Stacy Outten, MFT
Mental Health Counselor · Oakland, CA
NPI number
1629330352
Active
Practice location
1425 Leimert Blvd Ste 302A
Oakland, CA 94602-1852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MFC 46773 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1629330352
Stacy Outten, MFT's National Provider Identifier is 1629330352, issued on Jun 8, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oakland, CA. The record was last updated on Jun 8, 2012.