Tammy Stanisloo

NPI #1073981791 in North Bend, Oregon

Provider Information

NPI Number: 1073981791
Entity Type: Individual
Name: Tammy Stanisloo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 11, 2015
Last Updated: Sep 11, 2015

Practice Location

Address: 1913 MEADE ST
City: North Bend
State: Oregon
ZIP Code: 97459-3432
Phone: (541) 756-4508

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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