Gardea, Stacy Elizabeth

Gardea, Stacy Elizabeth is an individual health care provider with primary practice located at 23328 Robin Hood Dr , Edmonds WA 98020-5115. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Gardea, Stacy Elizabeth can be contacted via phone (425) 268-8856.

Contact Information

Primary practice address
23328 Robin Hood Dr Edmonds WA 98020-5115
Phone: (425) 268-8856
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CO60521553 Washington

Profile Details

NPI number 1669827440
LBN Legal business name Gardea, Stacy Elizabeth
Credentials CDPT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2016
Last updated Feb 27th, 2019 - about 6 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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