Stacy J Bauman, M.S., LPC-INTERN

NPI #1174871883 in Richardson, Texas

Provider Information

NPI Number: 1174871883
Entity Type: Individual
Name: Stacy J Bauman, M.S., LPC-INTERN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: M.S., LPC-INTERN
Enumeration Date: Aug 28, 2012
Last Updated: Aug 28, 2012

Practice Location

Address: 275 W CAMPBELL RD
City: Richardson
State: Texas
ZIP Code: 75080-3601
Phone: (817) 939-6308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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