Stacey D Brown, LPC
Counselor, Mental Health in Eagle River, AK. Individual provider (NPI-1).
NPI number1427314509
StatusActive
Last updated in NPPESJul 7, 2023
Details
- NPI
- 1427314509
- Entity type
- Individual (NPI-1)
- Name
- Stacey D Brown
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2012
- Certification date
- Jul 7, 2023
- Last updated
- Jul 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 104752 | AK | Yes |
Practice location
11901 Business Blvd Ste 203Eagle River, AK 99577-7701
Phone 907-202-7166 · Fax 855-936-3236
Mailing address
Po Box 770306Eagle River, AK 99577-0306
Phone 907-202-7166 · Fax 855-553-8083
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