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Individual
STACI ATKINS
Active
Individual
STACI ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LCSW
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY35327
CA
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
LCS 26308
CA
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
12/05/2006
Last updated
10/04/2024
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