Stacy Sloan Shoup, CCDC1

NPI #1093865818 in Mansfield, Ohio

Provider Information

NPI Number
1093865818
Entity Type
Individual
Name
Stacy Sloan Shoup, CCDC1
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CCDC1
Enumeration Date
Jan 12, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
270 STERKEL BLVD
State
Ohio
ZIP Code
44907-1508
Phone
(419) 526-6168

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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