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Individual
MS. STACI HARRAH
Active
Individual
MS. STACI HARRAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC001777
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
PC001777
PA
101YM0800X
Mental Health Counselor
PC001777
PA
101YP2500X
Professional Counselor
Primary
PC001777
PA
106H00000X
Marriage & Family Therapist
PC001777
PA
Other
Enumeration date
12/03/2007
Last updated
10/31/2014
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