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Individual

MS. STACY L PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC, LICAC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC1626
AZ
101YP2500X
Professional Counselor
Primary
LPC2397
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
644999
AHCCCS
AZ
Enumeration date
10/02/2006
Last updated
02/02/2026
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