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Mr. Stacy Lovell Slocum I, APCC
Mental Health Counselor in Fresno, California
NPI 1477096725

Stacy Lovell Slocum I is a Mental Health Counselor based in Fresno, CA and is specialized in Mental Health. Stacy Lovell Slocum I practices in Fresno, CA and has the professional credentials of APCC. The NPI Number for Stacy Lovell Slocum I is 1477096725 and holds a License No. PT 34689 (California).

The current practice location address for Stacy Lovell Slocum I is 1027 N Van Ness Ave, Fresno, CA and can be reached out via phone at 559-268-7613.

Location: 1027 N Van Ness Ave, Fresno, CA, 93720-5340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477096725
Provider Name
Stacy Lovell Slocum I
Credential
APCC
Provider Entity Type
Individual
Gender
Male
Address
1027 N Van Ness Ave, Fresno, CA, 93720-5340
Phone Number
559-268-7613
Fax Number
Provider Enumeration Date
11/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1027 N Van Ness Ave
City
Fresno
State
California
Zip
93728-3429
Phone Number
559-268-7613
Fax Number
person
Provider Business Mailing Address Details
Address
1027 N Van Ness Ave
City
Fresno
State
California
Zip
93728-3429
Phone Number
559-268-7613
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT 34689 (California)
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
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