Individual provider · Type 1 NPI

Stacey King, LPC IT

Professional Counselor · Brown Deer, WI

NPI number 1649733189 Active

Practice location

3900 W Brown Deer Rd Ste 200
Brown Deer, WI 53209-1220

Mailing address

611A N 62nd St
Wauwatosa, WI 53213-4171

Other practice locations

  • 15 Park Pl Ste 200, Appleton, WI 54914-8250 · (920) 944-6422

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X18842-130 (WI)
Professional Counselor Primary 101YP2500X11960-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1649733189

Stacey King, LPC IT's National Provider Identifier is 1649733189, issued on Apr 11, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Brown Deer, WI. The record was last updated on Oct 12, 2026.