Individual
MS. STACY LEE VENDITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4085 INDIAN BEND RD, SNOWFLAKE, AZ 85937-6521
(928) 498-7372
(928) 498-7372
Mailing address
4085 INDIAN BEND RD, SNOWFLAKE, AZ 85937-6521
(928) 498-7372
(928) 498-7372
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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