Black, Stacy Anne

Black, Stacy Anne is an individual health care provider with primary practice located at 2301 Old Hwy 99 , Mt. Vernon WA 98273. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Black, Stacy Anne can be contacted via phone (360) 398-5444.

Contact Information

Primary practice address
2301 Old Hwy 99 Mt. Vernon WA 98273
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MG60835827 Washington

Profile Details

NPI number 1104320480
LBN Legal business name Black, Stacy Anne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2018
Last updated Mar 21st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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