| Stacey Clark, TCADC | |
|
1200 Master St, Corbin, KY 40701-2502 | |
| (606) 280-4000 | |
| (833) 222-3797 |
| Full Name | Stacey Clark |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1200 Master St, Corbin, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528949963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 300934 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Clark, TCADC Po Box 2634, Corbin, KY 40702-2634 Ph: (606) 280-4000 | Stacey Clark, TCADC 1200 Master St, Corbin, KY 40701-2502 Ph: (606) 280-4000 |
Thanh N Helton, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1203 American Greeting Card Rd, Corbin, KY 40701 Phone: 606-528-7010 | |
Miss Cymbre Lin Patrick, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 244 Holly Grove Rd, Corbin, KY 40701 Phone: 606-620-4404 Fax: 606-620-4410 | |
Ashley Blair Freeman, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1203 American Greeting Card Rd, Corbin, KY 40701 Phone: 606-528-7010 | |
Ms. Maleah Allise Roberts, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1203 American Greeting Card Rd, Corbin, KY 40701 Phone: 606-528-7010 | |
Crystal Dale Neufeld, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1203 American Greeting Card Rd, Corbin, KY 40701 Phone: 606-528-7010 | |
Mrs. Kelli Breanne Cornett, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1203 American Greeting Rd, Corbin, KY 40701 Phone: 606-528-7010 | |
Lesley Anne Frazier, BS Counselor Medicare: Accepting Medicare Assignments Practice Location: 1203 American Greeting Card Rd, Corbin, KY 40701 Phone: 606-528-7010 |