NPI | 1366908188 |
---|---|
Professional Name | MICHAEL STEPHEN STAGAR |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 76862) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13965) |
Enumeration Date | 2019-02-17 |
Last Update Date | 2024-07-17 |