Search › Alabama › 104100000X
Stacey Jackson, L.C.S.W. P.I.P
NPI 1245327527 · on the registry since 2006
Practice
- Address
- 1615 Kathy Ln Sw
Po Bx 2240
Decatur, AL 35603 - Phone
- (256) 306-4128
- Fax
- (256) 432-2015
- Organisation at this address
- Valley Psychiatric Associates, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-08-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama