STACEY ANNE BLANK

LOVELAND, CO
NPI1871581231
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CO  3353)
Enumeration Date2005-10-11
Last Update Date2019-11-09
Business Address
Ms. STACEY ANNE BLANK LPC
1401 S TAFT AVE STE 206
LOVELAND, CO 80537
Phone number: 970-381-1239
Mailing Address
Ms. STACEY ANNE BLANK LPC
4670 GEORGETOWN DR
LOVELAND, CO 80538-6231
Phone number: 970-381-1239
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