Individual
MRS. STACY A FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
919 89TH DR NE, LAKE STEVENS, WA 98258-2495
(206) 491-5141
Mailing address
919 89TH DR NE, LAKE STEVENS, WA 98258-2495
(206) 491-5141
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00001984
WA
Other
Enumeration date
05/18/2007
Last updated
10/25/2021
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