Individual provider · Type 1 NPI

Staci Stephens

Professional Counselor · Mcdonough, GA

NPI number 1891174900 Active

Practice location

1944 Brannan Rd
Mcdonough, GA 30253-4310

Mailing address

5090 Miners Creek Cir
Lithonia, GA 30038-3809

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XAPC003632 (GA)

Professional Counselor: Definition to come...

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About NPI 1891174900

Staci Stephens's National Provider Identifier is 1891174900, issued on May 21, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mcdonough, GA. The record was last updated on Jan 20, 2016.