person
Mary Anna Stacie
Professional Counselor in Enfield, Connecticut
NPI 1114199387

Mary Anna Stacie is a Professional Counselor based in Enfield, CT and is specialized in Professional. Mary Anna Stacie practices in Enfield, CT. The NPI Number for Mary Anna Stacie is 1114199387 and holds a License No. 001652 (Connecticut).

The current practice location address for Mary Anna Stacie is 151 Hazard Ave, Enfield, CT and can be reached out via phone at 860-763-8044 and via fax at 860-272-2990. You can also correspond with Mary Anna Stacie through the mailing address at 151 HAZARD AVE, ENFIELD, CT - 06082-4584 (mailing address contact number: 860-763-8044).

Location: 151 Hazard Ave, Enfield, CT, 06082-4584
person
Provider Profile Details
NPI Number
1114199387
Provider Name
Mary Anna Stacie
Credential
Provider Entity Type
Individual
Gender
Female
Address
151 Hazard Ave, Enfield, CT, 06082-4584
Phone Number
860-763-8044
Fax Number
860-272-2990
Provider Enumeration Date
03/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 CT
institution
Provider Business Practice Location Address Details
Address
151 Hazard Ave
City
State
Zip
06082-4584
Phone Number
860-763-8044
Fax Number
860-272-2990
person
Provider Business Mailing Address Details
Address
151 Hazard Ave
City
State
Zip
06082-4584
Phone Number
860-763-8044
Fax Number
860-272-2990
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
001652 (Connecticut)
Definition
Definition to come...
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