Jacob Stacy, LCSW, CSAT

NPI 1750954343 · on the registry since 2021 · sole proprietor

Practice

Address: 40 W Cache Valley Blvd Ste 10a
Logan, UT 84341
Phone: (435) 787-2272
Fax: (435) 713-4001
Organisation at this address: Love Strong, Llc
Logan Dental Assoicates
River Hollow Mental Health Pllc
Behavioral Mental Health Services, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-07-21

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 Utah