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Individual

LACEY STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
330 POYNTZ AVE STE 272, MANHATTAN, KS 66502-8039
(505) 379-1270
(888) 972-1885
Mailing address
PO BOX 1126, MANHATTAN, KS 66505-1126
(505) 440-7169
(888) 972-1882

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0187211
NM
101YM0800X
Mental Health Counselor
2790
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201329460A
KS
05
47225335
NM
Enumeration date
07/21/2017
Last updated
10/17/2022
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