Individual
MRS. STACEY L FOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2800 CORNERSTONE DR STE 207, PAGOSA SPRINGS, CO 81147
(970) 570-5238
(844) 877-4159
Mailing address
PO BOX 3368, PAGOSA SPRINGS, CO 81147-3368
(970) 570-5238
(844) 877-4159
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD-142
CO
Other
Enumeration date
10/25/2007
Last updated
05/01/2024
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