Provider Demographics
NPI:1417419664
Name:GEE, STACY LYNETTE (MS)
Entity Type:Individual
Prefix:MRS
First Name:STACY
Middle Name:LYNETTE
Last Name:GEE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:STACY
Other - Middle Name:
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7241 E 28TH ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-5503
Mailing Address - Country:US
Mailing Address - Phone:520-444-3960
Mailing Address - Fax:
Practice Address - Street 1:1161 N EL DORADO PL STE 103
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-4607
Practice Address - Country:US
Practice Address - Phone:520-570-1411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-17900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional