| NPI | 1184617714 |
|---|---|
| Professional Name | REBECCA WHITT STACY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 1516) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV 1516) |
| 1041C0700X Social Worker, Clinical (Licence: WV AP00941783) | |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2016-11-04 |