| Stacey Counseling Associates Llc | |
|
50740 Princess Way Suite 700 Granger IN 46530-4339 | |
| (269) 277-0025 | |
| (574) 271-0479 |
| Full Name | Stacey Counseling Associates Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 50740 Princess Way, Granger, Indiana |
| Authorized Official Name and Position | Christine Frances Stacey (OWENER) |
| Authorized Official Contact | 2692770025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Counseling Associates Llc 50802 Chestnut Ridge Dr Granger IN 46530-8280 Ph: () - | Stacey Counseling Associates Llc 50740 Princess Way Suite 700 Granger IN 46530-4339 Ph: (269) 277-0025 |
| NPI Number | 1952698706 |
|---|---|
| Provider Enumeration Date | 06/30/2011 |
| Last Update Date | 06/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952698706 | NPI | - | NPPES |
| 602763 | Other | IN | ICAADC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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