Individual
MRS. STACIE ANN TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15036 N 28TH AVE, PHOENIX, AZ 85053-4912
(602) 931-6373
(480) 794-1684
Mailing address
15036 N 28TH AVE, PHOENIX, AZ 85053-4912
(602) 931-6373
(480) 794-1684
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC13574
AZ
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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