Individual
ELIZABETH STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-I #01679
Contact information
Practice address
205 S PRATT AVE, CARSON CITY, NV 89701-4730
(775) 882-3945
(775) 882-6126
Mailing address
205 S PRATT AVE, CARSON CITY, NV 89701-4730
(775) 882-3945
(775) 882-6126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01679
NV
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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