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Individual
STACY LEE SHELTS
Active
Individual
STACY LEE SHELTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
NLC.0108525
CO
101YP2500X
Professional Counselor
Primary
LPC.0018857
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326209925
—
CO
Enumeration date
09/07/2021
Last updated
12/06/2022
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