STACEY J CLOSSON

MISHAWAKA, IN
NPI1588630966
Former NameSTACEY J GRASS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39000588A)
Enumeration Date2006-02-27
Last Update Date2024-06-03
Business Address
STACEY J CLOSSON LMHC
2410 GRAPE RD STE 6
MISHAWAKA, IN 46545-3015
Phone number: 574-283-1234
Mailing Address
STACEY J CLOSSON LMHC
10100 ELIDA RD
DELPHOS, OH 45833-9058
Phone number: 419-695-8010