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1669596904
STACEY RENEE HARDESTY
LAFAYETTE, CO
NPI
1669596904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO 2394)
Enumeration Date
2007-03-19
Last Update Date
2012-10-31
Business Address
Ms. STACEY RENEE HARDESTY MA., LPC, BC-DMT, AC
380 EMPIRE RD STE 220
LAFAYETTE, CO 80026-2677
Phone number: 303-818-9659
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Mailing Address
Ms. STACEY RENEE HARDESTY MA., LPC, BC-DMT, AC
380 EMPIRE RD STE 220
LAFAYETTE, CO 80026-2677
Phone number: 303-818-9659
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