Stacy Jim

NPI #1053842690 in Redmond, Oregon

Provider Information

NPI Number
1053842690
Entity Type
Individual
Name
Stacy Jim
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Mar 24, 2017
Last Updated
Mar 24, 2017

Practice Location

Address
340 NW 5TH ST
Address 2
BOX 1710
State
Oregon
ZIP Code
97756-1869
Phone
(541) 516-4087

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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