| NPI | 1821272287 |
|---|---|
| Former Name | STACEY LYNN HUNT-AMOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 138) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2566) |
| 101YM0800X Counselor, Mental Health (Licence: NE 106) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 788LADC) | |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2016-09-07 |