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STACY LEWIS

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1316392269

Individual Registrant:
 STACY  LEWIS 
Gender: F
Sole Proprietor

Location and contact information for practice:
3650 S POINTE CIR SUITE 208 LAUGHLIN, NV 89029-0424 US
Tel: 702-298-5313  Fax: --

Contact information for business:
3650 S POINTE CIR SUITE 208 LAUGHLIN, NV 89029-0424 US
Tel: 702-298-5313  Fax: --

Registration Information:
NPI: 1316392269
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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