Individual
STACEY KLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC
Contact information
Practice address
179 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3130
(719) 572-6300
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
(719) 572-6100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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