Tina A Stacy, BA

NPI #1427723642 in Tillamook, Oregon

Provider Information

NPI Number
1427723642
Entity Type
Individual
Name
Tina A Stacy, BA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Credential
BA
Enumeration Date
Aug 10, 2021
Last Updated
Oct 18, 2022

Practice Location

Address
906 MAIN AVE
State
Oregon
ZIP Code
97141-3816
Phone
(503) 842-8201

Specialties & Taxonomy Codes

Specialty
Counselor

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