Individual
STACEY ANN NUTTER-BEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1199 HARRIS AVE, TAWAS CITY, MI 48763-9681
(989) 362-8636
(989) 362-7800
Mailing address
PO BOX 310, TAWAS CITY, MI 48764-0310
(989) 362-8636
(989) 362-7800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401010573
MI
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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