Individual provider · Type 1 NPI
Susan Joan Stacy, M.S. L.P.C.S.
Professional Counselor · Dallas, TX
NPI number
1992060628
Active
Practice location
7424 Greenville Ave Ste 104
Dallas, TX 75231-4507
Mailing address
7424 Greenville #104
Dallas, TX 75231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 13575 (TX) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1992060628
Susan Joan Stacy, M.S. L.P.C.S.'s National Provider Identifier is 1992060628, issued on Jul 9, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Jul 9, 2012.