person
Stacey King, LPCIT
Professional Counselor in Brown Deer, Wisconsin
NPI 1649733189

Stacey King is a Professional Counselor based in Wauwatosa, WI and is specialized in Professional. Stacey King practices in Brown Deer, WI and has the professional credentials of LPCIT. The NPI Number for Stacey King is 1649733189 and holds a License No. 18842-130 (Wisconsin).

The current practice location address for Stacey King is 3900 W Brown Deer Rd Ste 200, Brown Deer, WI and can be reached out via phone at 414-540-2170.

Location: 3900 W Brown Deer Rd Ste 200, Brown Deer, WI, 53213-4171
person
Provider Profile Details
NPI Number
1649733189
Provider Name
Stacey King
Credential
LPCIT
Provider Entity Type
Individual
Gender
Female
Address
3900 W Brown Deer Rd Ste 200, Brown Deer, WI, 53213-4171
Phone Number
414-540-2170
Fax Number
Provider Enumeration Date
04/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3900 W Brown Deer Rd Ste 200
City
State
Zip
53209-1220
Phone Number
414-540-2170
Fax Number
person
Provider Business Mailing Address Details
Address
3900 W Brown Deer Rd Ste 200
City
State
Zip
53209-1220
Phone Number
414-540-2170
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
7088-226 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
18842-130 (Wisconsin)
Definition
Definition to come...
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