| NPI | 1538430004 |
|---|---|
| Former Name | STACY LYNN REEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WV 2040) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WV 90481) |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2015-03-23 |