Individual
GREGORY STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 STACYS WAY, DENMARK, ME 04022-5331
(207) 310-0418
Mailing address
15 STACYS WAY, DENMARK, ME 04022-5331
(207) 310-0418
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2122
NH
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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