Stacy J Nielsen, Lcsw, LLC

NPI #1861843310 in Winston, Oregon

Provider Information

NPI Number
1861843310
Entity Type
Organization
Organization Name
Stacy J Nielsen, Lcsw, LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jun 27, 2016
Last Updated
Jun 27, 2016

Practice Location

Address
11 SW BRANTLEY DR
State
Oregon
ZIP Code
97496-4526
Phone
(541) 679-0366

Authorized Official

Name
STACY JEAN NIELSEN, LCSW
Title
OWNER
Phone
(541) 802-6597

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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