Provider Demographics
NPI:1831825975
Name:STEFANSKI, STACEY J (LPC)
Entity type:Individual
Prefix:MRS
First Name:STACEY
Middle Name:J
Last Name:STEFANSKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5850 MACKLIND AVE # 1089
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-3569
Mailing Address - Country:US
Mailing Address - Phone:314-282-4888
Mailing Address - Fax:
Practice Address - Street 1:1337 LIGGETT DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63126-1341
Practice Address - Country:US
Practice Address - Phone:314-918-1662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-30
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO002726101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional