Individual
STACY LYNN STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC-I
Contact information
Practice address
1640 ALTA DR STE 4, LAS VEGAS, NV 89106-4165
(702) 474-6450
(702) 474-6463
Mailing address
1640 ALTA DR STE 4, LAS VEGAS, NV 89106-4165
(702) 474-6450
(702) 474-6463
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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