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Marisa Ann Stackpoole
Mental Health Counselor in Medford, Oregon
NPI 1407427719

Marisa Ann Stackpoole is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Marisa Ann Stackpoole practices in Medford, OR. The NPI Number for Marisa Ann Stackpoole is 1407427719 and holds a License No. (Oregon).

The current practice location address for Marisa Ann Stackpoole is 2368 Crater Lake Ave Ste 102, Medford, OR and can be reached out via phone at 541-727-1592.

Location: 2368 Crater Lake Ave Ste 102, Medford, OR, 97501-2734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407427719
Provider Name
Marisa Ann Stackpoole
Credential
Provider Entity Type
Individual
Gender
Female
Address
2368 Crater Lake Ave Ste 102, Medford, OR, 97501-2734
Phone Number
541-727-1592
Fax Number
Provider Enumeration Date
07/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2368 Crater Lake Ave Ste 102
City
Medford
State
Oregon
Zip
97504-5006
Phone Number
541-727-1592
Fax Number
person
Provider Business Mailing Address Details
Address
2368 Crater Lake Ave Ste 102
City
Medford
State
Oregon
Zip
97504-5006
Phone Number
541-727-1592
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Oregon)
Definition
Definition to come...
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