Individual
STACEY MICHELLE LANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFTI
Contact information
Practice address
1539 PRIES CT, RENO, NV 89523-1885
(775) 287-4100
Mailing address
1539 PRIES CT, RENO, NV 89523-1885
(775) 287-4100
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MI1211
NV
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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