Individual provider · Type 1 NPI

Staci Nicole Bearden

Professional Counselor · Midland, TX

NPI number 1659393080 Active

Practice location

4400 N Midland Dr Ste 2910
Midland, TX 79707-3385

Call (855) 284-7483 Map

Fax (617) 807-0958

Mailing address

PO Box 748465
Atlanta, GA 30374-8465

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X#446 (AK)
Professional Counselor Primary 101YP2500X19619 (TX)

Professional Counselor: Definition to come...

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About NPI 1659393080

Staci Nicole Bearden's National Provider Identifier is 1659393080, issued on Jul 24, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Midland, TX. The record was last updated on Nov 15, 2023.