Individual
STACY ELLEN DELBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CAC III
Contact information
Practice address
7200 E DRY CREEK RD STE B201, CENTENNIAL, CO 80112-2560
(720) 837-0908
Mailing address
7200 E DRY CREEK RD STE B201, CENTENNIAL, CO 80112-2560
(720) 837-0908
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00000928
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
6128
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000189339
—
CO
Enumeration date
07/10/2017
Last updated
07/28/2022
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