Individual
STACEY ANN VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 N WILKES BARRE BLVD, WILKES BARRE, PA 18702-5354
(570) 208-4858
(570) 208-4874
Mailing address
125 N WILKES BARRE BLVD, WILKES BARRE, PA 18702-5354
(570) 208-4858
(570) 208-4874
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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