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Stacey Lynn Porreca
Mental Health Counselor in Westland, Michigan
NPI 1396905386

Stacey Lynn Porreca is a Mental Health Counselor based in Westland, MI and is specialized in Mental Health. Stacey Lynn Porreca practices in Westland, MI. The NPI Number for Stacey Lynn Porreca is 1396905386 and holds a License No. 6801068161 (Michigan).

The current practice location address for Stacey Lynn Porreca is 1547 S Wayne Rd, Westland, MI and can be reached out via phone at 734-405-0176.

Location: 1547 S Wayne Rd, Westland, MI, 48181
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396905386
Provider Name
Stacey Lynn Porreca
Credential
Provider Entity Type
Individual
Gender
Female
Address
1547 S Wayne Rd, Westland, MI, 48181
Phone Number
734-405-0176
Fax Number
Provider Enumeration Date
06/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
383501869 01 MI APEX BEHAVIORAL HEALTH TAX ID
6801068161 01 MI APEX BEHAVIORAL HEALTH TAX ID
institution
Provider Business Practice Location Address Details
Address
1547 S Wayne Rd
City
Westland
State
Michigan
Zip
48186-5436
Phone Number
734-405-0176
Fax Number
person
Provider Business Mailing Address Details
Address
1547 S Wayne Rd
City
Westland
State
Michigan
Zip
48186-5436
Phone Number
734-405-0176
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6801068161 (Michigan)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6801068161 (Michigan)
Definition
Definition to come...
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