Individual
KIRSTEN HALEY STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
LPCC
Contact information
Practice address
3805 EDWARDS RD STE 400, CINCINNATI, OH 45209-1940
(513) 808-9226
Mailing address
6695 TWINRIDGE LN, CINCINNATI, OH 45224-1754
(937) 522-1128
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.2404532
OH
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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