Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mariah Stacy

Individual provider Counselor · NPI 1013371517

Mariah Stacy is a Counselor in San Diego, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

2535 Kettner Blvd Ste 1A4
San Diego, CA 92101-1250
Phone: (619) 615-0701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence F1937412 (CA)

Record details

NPI number1013371517
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 11, 2016
Last updated in NPPESApril 11, 2016

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