NPI | 1104686104 |
---|---|
Doing Business As | SUSAN H STUCKEY MMFT LPC |
Entity Type | Organization |
Authorized Contact | SUSAN STUCKEY Owner 325-518-4652 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2024-03-19 |
Last Update Date | 2024-03-28 |