Stacy Michelle Humphrey LPC

NPI 1487810396 - Counselor - 101YP2500X

NPI Details
NPI 1487810396
Gender Female
Enumeration Date 07/30/2008
Last Updated 11/04/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
2904 ARKANSAS BLVD
TEXARKANA AR, 71854-2536, US
Phone (870) 773-4655
Fax
Business Location
2904 ARKANSAS BLVD
TEXARKANA AR, 71854-2536, US
Phone (870) 773-4655
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Texas
License Number 61024
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According to our database, Stacy Michelle Humphrey LPC NPI is 1487810396, taxonomy code is 101YP2500X and license number is 61024, license state is located at Texas. Stacy Michelle Humphrey LPC physically located at 2904 Arkansas Blvd, Texarkana AR, 71854-2536. NPI Number Stacy Michelle Humphrey LPC has the Individual type.

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1487810396 NPI number is provided on an as is basis without warranty of any kind. 1487810396 is maintained by the National Plan & Provider Enumeration System. The contents of Stacy Michelle Humphrey LPC are for informational purposes only.