STACEY L FOSS

PAGOSA SPRINGS, CO
NPI1457530586
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  ACD-142)
Enumeration Date2007-10-25
Last Update Date2024-05-01
Business Address
Mrs. STACEY L FOSS LAC
2800 CORNERSTONE DR STE 207
PAGOSA SPRINGS, CO 81147
Phone number: 970-570-5238
Mailing Address
Mrs. STACEY L FOSS LAC
PO BOX 3368
PAGOSA SPRINGS, CO 81147-3368
Phone number: 970-570-5238
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