Young, Stacey Rae

Young, Stacey Rae is an individual health care provider with primary practice located at 215 N East Ave , Fayetteville AR 72701. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Young, Stacey Rae can be contacted via phone (479) 301-5290.

Contact Information

Primary practice address
215 N East Ave Fayetteville AR 72701
Phone: (479) 301-5290
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1934-C Arkansas

Profile Details

NPI number 1184665358
LBN Legal business name Young, Stacey Rae
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jun 9th, 2020 - about 4 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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