Stacey Widger

NPI 1982451142 · on the registry since 2024

Practice

Address: 13323 W Washington Blvd
Los Angeles, CA 90066
Phone: (323) 301-3407
Organisation at this address: Axis Psychiatric Services, Pc
Advanced Nursing Therapeutics Inc
Raspudic Professional Clinical Counselor, P.C.
Amanda Burback Marriage And Family Therapy Inc.
Evelyn Co License Marriage And Family Therapist Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 21

Registry record

Primary taxonomy: 106H00000X
106H00000X
Also registered as: 106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-08-21

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 California