Individual provider · Type 1 NPI
Stacey Marie Lewis, MD
Mental Health Counselor · Pagosa Springs, CO
NPI number
1740945930
Active
Practice location
28OO Cornerstone Drive
Pagosa Springs, CO 81147
Mailing address
PO Box 3368
Pagosa Springs, CO 81147-3368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1740945930
Stacey Marie Lewis, MD's National Provider Identifier is 1740945930, issued on Nov 3, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pagosa Springs, CO. The record was last updated on Nov 3, 2021.