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

Ryan Mitchell Stacey, CCAPPRT1441630426

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639007594

Ryan Mitchell Stacey, CCAPPRT1441630426 is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

2521 Long Beach Ave
Los Angeles, CA 90058-1324
Phone: (817) 962-6408
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence RT1441630426 (CA)

Record details

NPI number1639007594
Entity typeIndividual (Type 1)
GenderMale
Credentials CCAPPRT1441630426
Sole proprietorYes
NPI enumeratedMay 11, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

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