Individual
STACEY LEWIS-VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3055
Mailing address
11 INDEPENDENCE CIR, SOUTHBURY, CT 06488-3000
(475) 279-9655
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6512
CT
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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