STACI BRYSON-DES RAULT, LMHC
Counselor - Mental Health
Active
Individual
NPI: 1457617920
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | 005197 (NY) |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | - |
Frequently Asked Questions
NPI 1457617920 is the National Provider Identifier for STACI BRYSON-DES RAULT, LMHC, a Counselor - Mental Health provider located in Massapequa, NY. This NPI was enumerated on April 9, 2012.
STACI BRYSON-DES RAULT, LMHC practices at 90 N WALNUT ST, Massapequa, NY 11758.
Quick Facts
- NPI
- 1457617920
- Type
- Individual
- Enumerated
- Apr 9, 2012
- Last Updated
- Sep 8, 2021
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