person
Stacey J Closson, LMHC
Mental Health Counselor in Mishawaka, Indiana
NPI 1588630966

Stacey J Closson is a Mental Health Counselor based in Delphos, IN and is specialized in Mental Health. Stacey J Closson practices in Mishawaka, IN and has the professional credentials of LMHC. The NPI Number for Stacey J Closson is 1588630966 and holds a License No. 39000588A (Indiana).

The current practice location address for Stacey J Closson is 2410 Grape Rd Ste 6, Mishawaka, IN and can be reached out via phone at 574-283-1234 and via fax at 574-537-2652.

Location: 2410 Grape Rd Ste 6, Mishawaka, IN, 45833-9058
person
Provider Profile Details
NPI Number
1588630966
Provider Name
Stacey J Closson
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
2410 Grape Rd Ste 6, Mishawaka, IN, 45833-9058
Phone Number
574-283-1234
Fax Number
574-537-2652
Provider Enumeration Date
02/27/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39000588A 01 IN LICENSE
institution
Provider Business Practice Location Address Details
Address
2410 Grape Rd Ste 6
City
State
Zip
46545-3015
Phone Number
574-283-1234
Fax Number
574-537-2652
person
Provider Business Mailing Address Details
Address
2410 Grape Rd Ste 6
City
State
Zip
46545-3015
Phone Number
574-283-1234
Fax Number
574-537-2652
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39000588A (Indiana)
Definition
Definition to come...
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