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STACY ELDREDGE

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1023503729

Individual Registrant:
 STACY  ELDREDGE 
Gender: F
Sole Proprietor

Location and contact information for practice:
758 MAIN ST  CARBONDALE, CO 81623-1947 US
Tel: 310-344-4901  Fax: --

Contact information for business:
758 MAIN ST  CARBONDALE, CO 81623-1947 US
Tel: 310-344-4901  Fax: --

Registration Information:
NPI: 1023503729
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
COACB.0008316

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
STATE OF COLORADOACB.0008316CO01




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