Individual
STACIE MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3214 WINCHESTER, BENTON, AR 72015-2929
(501) 326-6160
(501) 326-6161
Mailing address
3214 WINCHESTER, BENTON, AR 72015-2929
(501) 326-6160
(501) 326-6161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A0810082
AR
101YM0800X
Mental Health Counselor
Primary
P1109065
AR
Other
Enumeration date
01/22/2008
Last updated
10/17/2011
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