Individual
JAMES STACEY MAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
4450 S HOUSEMAN ST, TERRE HAUTE, IN 47802-9197
(812) 240-0903
Mailing address
4450 S HOUSEMAN ST, TERRE HAUTE, IN 47802-9197
(812) 240-0903
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/09/2020
Last updated
02/09/2020
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