Provider Demographics
NPI:1073635033
Name:SIEGLER, STACIE L (LPC)
Entity Type:Individual
Prefix:
First Name:STACIE
Middle Name:L
Last Name:SIEGLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7850 VANCE DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-2118
Mailing Address - Country:US
Mailing Address - Phone:720-985-3905
Mailing Address - Fax:303-424-1477
Practice Address - Street 1:7850 VANCE DR
Practice Address - Street 2:SUITE 240
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-2118
Practice Address - Country:US
Practice Address - Phone:720-985-3905
Practice Address - Fax:303-424-1477
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2388101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional