Stacey L Clark is a Counselor in Anderson, Indiana. Stacey L Clark practices all healthcare services and medical treatments related to Counselor. The NPI Number for Stacey L Clark is 1306905484. The last update date is 2007-07-08.
Stacey L Clark's current location address is Po Box 1258, Anderson, Indiana. You can contact this provider via phone number 7656498161 and fax number 7656418238. The mailing address for Stacey L Clark is Po Box 1258, Anderson, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey L Clark |
|---|---|
| Address | Po Box 1258, Anderson, Indiana |
| Phone Number | 7656498161 |
| Fax Number | 7656418238 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1306905484 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1258 |
|---|---|
| City | Anderson |
| State | Indiana (IN) |
| Post Code | 460151258 |
| Phone Number | 7656498161 |
| Fax Number | 7656418238 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Post Comment/ Review Below
What is the Stacey L Clark's 1306905484?
The Stacey L Clark's NPI (National Provider Identifier) Number is 1306905484. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Stacey L Clark is physically located?
The Stacey L Clark is situated at the following address: Po Box 1258, Anderson, IN 460151258.
What is the Stacey L Clark's specialty and taxonomy code?
The Stacey L Clark's specialty is Counselor, and the corresponding taxonomy code is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1306905484 to Stacey L Clark?
The Centers for Medicare & Medicaid Services assigned the 1306905484 to Stacey L Clark on 2006-12-06.
As of what date was the information pertaining to Stacey L Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stacey L Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1902809924
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