Individual
CHRISTINA STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4325 WASHINGTON RD, SUITE 101, EVANS, GA 30809-3966
(706) 888-0299
Mailing address
2220 VIREO DR, NORTH AUGUSTA, SC 29841-3135
(706) 414-6362
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC007274
GA
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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