MS. Stacey Bristow
MS. Stacey Bristow is a Mental Health Counselor in Newnan, Georgia. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
300 Ashley Park Blvd Apt 2014Newnan, GA 30263-6419
Phone: (917) 474-3083
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1619568128 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 27, 2021 |
| Last updated in NPPES | January 27, 2021 |
| Certification date | January 27, 2021 |
| Mailing address | 300 Ashley Park Blvd Apt 2014, Newnan, GA 30263-6419 |
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