IndividualActive
Stacie Later
NPI 1568034114 · Mental Health Counselor · Logan, UT
Provider details
- NPI number
- 1568034114
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 7886666-3506 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
115 Golf Course Rd Ste E
Logan, UT 84321-5934
Phone: (435) 535-3782
Approximate (ZIP-level) locationGet directions
Mailing address
115 Golf Course Rd Ste E
Logan, UT 84321-5934
Registry dates
- Enumerated
- 2021-07-13
- Last updated
- 2021-07-13
- Certified
- 2021-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.