Stacey Deann Cruse, Pastoral Counselor
Counselor, Mental Health in Florance, KY. Individual provider (NPI-1).
NPI number1710596010
StatusActive
Last updated in NPPESJul 23, 2020
Details
- NPI
- 1710596010
- Entity type
- Individual (NPI-1)
- Name
- Stacey Deann Cruse
- Credential
- Pastoral Counselor
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2020
- Certification date
- Jul 23, 2020
- Last updated
- Jul 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 263317 | KY | Yes |
Other names
- Stacey Deann Cruse (Other Name)
Practice location
71 Cavalier Blvd #303Florance, KY 41042
Phone 859-282-0204 · Fax 859-282-0361
Mailing address
71 Cavalier Blvd #303Florance, KY 41042
Phone 859-282-0204 · Fax 859-282-0361
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