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Individual
STACY ELLEN DELBAUGH
Active
Individual
STACY ELLEN DELBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CAC III
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00000928
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
6128
CO
Other
Enumeration date
07/10/2017
Last updated
07/28/2022
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