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Stacie M Lepage, MED,LPC
Professional Counselor in Bryan, Texas
NPI 1801650197

Stacie M Lepage is a Professional Counselor based in Bryan, TX and is specialized in Professional. Stacie M Lepage practices in Bryan, TX and has the professional credentials of MED,LPC. The NPI Number for Stacie M Lepage is 1801650197 and holds a License No. 1115742 (Texas).

The current practice location address for Stacie M Lepage is 5388 Burt Rd, Bryan, TX and can be reached out via phone at 979-220-8242.

Location: 5388 Burt Rd, Bryan, TX, 77807-6469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801650197
Provider Name
Stacie M Lepage
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Female
Address
5388 Burt Rd, Bryan, TX, 77807-6469
Phone Number
979-220-8242
Fax Number
Provider Enumeration Date
02/07/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5388 Burt Rd
City
Bryan
State
Texas
Zip
77807-6469
Phone Number
979-220-8242
Fax Number
person
Provider Business Mailing Address Details
Address
5388 Burt Rd
City
Bryan
State
Texas
Zip
77807-6469
Phone Number
979-220-8242
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
80032 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
101YS0200X
License No.
1115742 (Texas)
Definition
Definition to come...
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