Individual
MS. STACY L PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, LICAC
Contact information
Practice address
4451 E OAK ST, PHOENIX, AZ 85008-2410
(602) 685-6000
(602) 508-4492
Mailing address
3003 N CENTRAL AVE STE 400, PHOENIX, AZ 85012-2929
(602) 685-6000
(602) 302-7925
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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