Individual
STACEY CAROL DIRZUWEIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT, ATR
Contact information
Practice address
12157 W CEDAR DR STE 203, LAKEWOOD, CO 80228-2100
(720) 526-3132
(303) 985-7882
Mailing address
12157 W CEDAR DR STE 203, LAKEWOOD, CO 80228-2100
(720) 526-3132
(303) 985-7882
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT.0001397
CO
221700000X
Art Therapist
09-027
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699969899
—
CO
Enumeration date
08/30/2007
Last updated
11/20/2020
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