Individual
STACEY A LANZA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, MLADC
Contact information
Practice address
45 MAIN ST, PETERBOROUGH, NH 03458-2433
(603) 883-0005
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(253) 346-0397
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1082
NH
101YM0800X
Mental Health Counselor
Primary
1217
NH
Other
Enumeration date
10/06/2011
Last updated
12/09/2024
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