Stacie Weldon, REVEREND

NPI #1841525029 in Elmont, New York

Provider Information

NPI Number: 1841525029
Entity Type: Individual
Name: Stacie Weldon, REVEREND
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: REVEREND
Enumeration Date: Oct 6, 2009
Last Updated: Dec 26, 2012

Practice Location

Address: 560 KELLER AVENUE
City: Elmont
State: New York
ZIP Code: 11003
Phone: (516) 424-1520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Pastoral — Pastoral	101YP1600X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Case Manager/Care Coordinator	171M00000X
Health Educator	174H00000X
Naturopath	175F00000X
Homeopath	175L00000X
Acupuncturist	171100000X
Community Health Worker	172V00000X

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