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Stephanie Jean Weaver
Mental Health Counselor in Gresham, Oregon
NPI 1306180245

Stephanie Jean Weaver is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Stephanie Jean Weaver practices in Gresham, OR. The NPI Number for Stephanie Jean Weaver is 1306180245 and holds a License No. (Oregon).

The current practice location address for Stephanie Jean Weaver is 801 Nw Wallula Ave, Gresham, OR and can be reached out via phone at 503-726-3740.

Location: 801 Nw Wallula Ave, Gresham, OR, 97214-1922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306180245
Provider Name
Stephanie Jean Weaver
Credential
Provider Entity Type
Individual
Gender
Female
Address
801 Nw Wallula Ave, Gresham, OR, 97214-1922
Phone Number
503-726-3740
Fax Number
Provider Enumeration Date
11/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
801 Nw Wallula Ave
City
Gresham
State
Oregon
Zip
97030-5455
Phone Number
503-726-3740
Fax Number
person
Provider Business Mailing Address Details
Address
801 Nw Wallula Ave
City
Gresham
State
Oregon
Zip
97030-5455
Phone Number
503-726-3740
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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