Individual provider · Type 1 NPI
Stacy Lynn Poole
Addiction (Substance Use Disorder) Counselor · Lawton, OK
NPI number
1922846260
Active
Practice location
1302 Homestead Dr, Ste G
Lawton, OK 73505
Mailing address
1509 Heatherbrook Way
Cache, OK 73527-7715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1922846260
Stacy Lynn Poole's National Provider Identifier is 1922846260, issued on Jul 19, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lawton, OK. The record was last updated on Jul 19, 2024.