Individual
STACEY L WEISBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3201 S TAMARAC DR, DENVER, CO 80231-4394
(303) 597-7777
(303) 597-7700
Mailing address
3201 S TAMARAC DR, DENVER, CO 80231-4394
(303) 597-7777
(303) 597-7700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
728
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9147539
—
CO
Enumeration date
08/17/2006
Last updated
07/09/2007
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