Stephanie Brooke Mace, CADC
Counselor, Professional in Elizabethtown, KY. Individual provider (NPI-1).
NPI number1013661149
StatusActive
Last updated in NPPESNov 8, 2024
Details
- NPI
- 1013661149
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Brooke Mace
- Credential
- CADC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 8, 2022
- Certification date
- Nov 8, 2024
- Last updated
- Nov 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 283502 | KY | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 267754 | KY |
Practice location
100 Diecks DrElizabethtown, KY 42701-2443
Phone 270-238-1485 · Fax 270-900-1037
Mailing address
145 Pointers Ct Apt 2Rineyville, KY 40162-9538
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