Individual
ALAN WAYNE STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
633 THOMPSON LN, NASHVILLE, TN 37204-3616
(615) 463-6600
Mailing address
11185 NEW CUT OFF RD, BON AQUA, TN 37025-3148
(615) 752-0710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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