Individual
STACY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 N EISENHOWER AVE, MASON CITY, IA 50401-1521
(641) 243-7258
Mailing address
320 N EISENHOWER AVE, MASON CITY, IA 50401-1521
(641) 243-7258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
091478
IA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/28/2016
Last updated
07/07/2025
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