Clint Jay Stacy, PRSS-SUD
NPI #1326912205 in Beckley, West Virginia
Provider Information
- NPI Number
- 1326912205
- Entity Type
- Individual
- Name
- Clint Jay Stacy, PRSS-SUD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Credential
- PRSS-SUD
- Enumeration Date
- Oct 2, 2025
- Last Updated
- Oct 2, 2025
Practice Location
- Address
- 550 N EISENHOWER DR
- City
- Beckley
- State
- West Virginia
- ZIP Code
- 25801-3109
- Phone
- (681) 323-8335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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