MS. Stacy Moore O'mara, L.M.H.C.

NPI #1114135837 in Casselberry, Florida

Provider Information

NPI Number: 1114135837
Entity Type: Individual
Name: MS. Stacy Moore O'mara, L.M.H.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: L.M.H.C.
Enumeration Date: May 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 661 SEMINOLA BLVD
City: Casselberry
State: Florida
ZIP Code: 32707-3057
Phone: (407) 405-0585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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