Individual
ELIZABETH DIANE STAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 MATHIS DR NW, ROME, GA 30165-1242
(706) 233-9023
Mailing address
6 MATHIS DR NW, ROME, GA 30165-1242
(706) 233-9023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CG60770915
WA
101YP2500X
Professional Counselor
Primary
LPC015223
GA
Other
Enumeration date
08/24/2017
Last updated
10/21/2025
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