Park, Stacey

Park, Stacey is an individual health care provider with primary practice located at 6314 19Th St W Ste 14 , Fircrest WA 98466-6223. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Park, Stacey can be contacted via phone (253) 239-2310.

Contact Information

Primary practice address
6314 19Th St W Ste 14 Fircrest WA 98466-6223
Phone: (253) 239-2310
Fax: (253) 239-2311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY60880262 Washington
Behavioral Health & Social Service Providers / Counseling 103TC1900X 28774 California

Profile Details

NPI number 1659801173
LBN Legal business name Park, Stacey
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2017
Last updated Jun 25th, 2022 - about 3 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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