Stacy, Jordanne Marie

Stacy, Jordanne Marie is an sole proprietor health care provider with primary practice located at 40005 10Th St W , Palmdale CA 93551. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Stacy, Jordanne Marie can be contacted via phone (661) 265-8627.

Contact Information

Primary practice address
40005 10Th St W Palmdale CA 93551
Phone: (661) 265-8627
Fax: (661) 265-7936
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMF 93928 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 93928 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 123463 California

Profile Details

NPI number 1235683111
LBN Legal business name Stacy, Jordanne Marie
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2016
Last updated Oct 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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