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Individual

MS. STACEY MYERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
1717 E 116TH ST STE 112, CARMEL, IN 46032-3572
(317) 804-4540
(317) 755-0676
Mailing address
631 NUTTAL ST, WESTFIELD, IN 46074-5801
(317) 500-3624

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003539A
IN
101YP2500X
Professional Counselor
39003539A
IN

Other

Enumeration date
06/03/2019
Last updated
08/30/2024
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