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Stacey Koekkoek
Mental Health Counselor in Wayland, Massachusetts
NPI 1316364375

Stacey Koekkoek is a Mental Health Counselor based in Wayland, MA and is specialized in Mental Health. Stacey Koekkoek practices in Wayland, MA. The NPI Number for Stacey Koekkoek is 1316364375 and holds a License No. 8490 (Massachusetts).

The current practice location address for Stacey Koekkoek is 260 Boston Post Rd, Wayland, MA and can be reached out via phone at 508-276-1743.

Location: 260 Boston Post Rd, Wayland, MA, 01778-1889
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316364375
Provider Name
Stacey Koekkoek
Credential
Provider Entity Type
Organization
Address
260 Boston Post Rd, Wayland, MA, 01778-1889
Phone Number
508-276-1743
Fax Number
Provider Enumeration Date
03/27/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
260 Boston Post Rd
City
Wayland
State
Massachusetts
Zip
01778-1889
Phone Number
508-276-1743
Fax Number
person
Provider Business Mailing Address Details
Address
260 Boston Post Rd
City
Wayland
State
Massachusetts
Zip
01778-1889
Phone Number
508-276-1743
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
8490 (Massachusetts)
Definition
Definition to come...
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