Individual
STACEY WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS
Contact information
Practice address
809 POLK ST, MANSFIELD, LA 71052-2452
(318) 871-5566
Mailing address
809 POLK ST, MANSFIELD, LA 71052-2452
(318) 871-5566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
TX
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/13/2018
Last updated
10/25/2024
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