Stacey Koekkoek
NPI #1316364375 in Wayland, Massachusetts
Provider Information
- NPI Number
- 1316364375
- Entity Type
- Organization
- Organization Name
- Stacey Koekkoek
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Mar 27, 2014
- Last Updated
- Apr 4, 2017
Practice Location
- Address
- 260 BOSTON POST RD
- Address 2
- SUITE 11
- City
- Wayland
- State
- Massachusetts
- ZIP Code
- 01778-1889
- Phone
- (508) 276-1743
Authorized Official
- Name
- STACEY KOEKKOEK, MS RD, LDN, LMHC
- Title
- PSYCHOTHERAPIST/DIETITIAN
- Phone
- (508) 276-1743
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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