Stacey, Jodi
Stacey, Jodi is an sole proprietor health care provider with primary practice located at 1268 W Main St , Sun Prairie WI 53590-1930. 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. Stacey, Jodi can be contacted via phone (608) 834-1122.Contact Information
Primary practice address
1268 W Main St
Sun Prairie WI 53590-1930
Phone: (608) 834-1122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1023-228 | Wisconsin |
Profile Details
| NPI number | 1588356760 |
|---|---|
| LBN Legal business name | Stacey, Jodi |
| Credentials | MFT-IT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2023 |
| Last updated | May 24th, 2023 - about last year |
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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