RYAN MITCHELL STACEY

LOS ANGELES, CA
NPI1639007594
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RT1441630426)
Enumeration Date2026-05-11
Last Update Date2026-05-11
Business Address
RYAN MITCHELL STACEY CCAPP RT1441630426
2521 LONG BEACH AVE
LOS ANGELES, CA 90058-1324
Phone number: 817-962-6408
Mailing Address
RYAN MITCHELL STACEY CCAPP RT1441630426
2521 LONG BEACH AVE
LOS ANGELES, CA 90058-1324
Phone number: