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Individual

STACY HOWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED LICDC

Contact information

Practice address
323 MARION PIKE STE 1, COAL GROVE, OH 45638-2958
(740) 237-4981
(877) 325-2816
Mailing address
186 STANLEY ST, COAL GROVE, OH 45638-3148
(740) 237-4981
(877) 325-2816

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
141053
OH
101YM0800X
Mental Health Counselor
C.2405956
OH
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0173719
OH
Enumeration date
07/06/2016
Last updated
02/10/2025
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