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Mr. Stacy Clark, MED
Mental Health Counselor in Chesapeake, Virginia
NPI 1861628380

Stacy Clark is a Mental Health Counselor based in Chesapeake, VA and is specialized in Mental Health. Stacy Clark practices in Chesapeake, VA and has the professional credentials of MED. The NPI Number for Stacy Clark is 1861628380 and holds a License No. (Virginia).

The current practice location address for Stacy Clark is 2156 Seastone Trce, Chesapeake, VA and can be reached out via phone at 757-803-5261.

Location: 2156 Seastone Trce, Chesapeake, VA, 23321-3777
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861628380
Provider Name
Stacy Clark
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
2156 Seastone Trce, Chesapeake, VA, 23321-3777
Phone Number
757-803-5261
Fax Number
Provider Enumeration Date
06/10/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2156 Seastone Trce
City
Chesapeake
State
Virginia
Zip
23321-3777
Phone Number
757-803-5261
Fax Number
person
Provider Business Mailing Address Details
Address
2156 Seastone Trce
City
Chesapeake
State
Virginia
Zip
23321-3777
Phone Number
757-803-5261
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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.
()
Definition
Definition to come...
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