person
Carol L Stephens, CADCI
Addiction (Substance Use Disorder) Counselor in Grants Pass, Oregon
NPI 1649649211

Carol L Stephens is an Addiction (Substance Use Disorder) Counselor based in Grants Pass, OR and is specialized in Addiction (Substance Use Disorder). Carol L Stephens practices in Grants Pass, OR and has the professional credentials of CADCI. The NPI Number for Carol L Stephens is 1649649211 and holds a License No. 15-01-12 (Oregon).

The current practice location address for Carol L Stephens is 109 N.e. Manzanita Ave, Grants Pass, OR and can be reached out via phone at 541-479-8847 and via fax at 541-471-2679.

Location: 109 N.e. Manzanita Ave, Grants Pass, OR, 97526-1400
person
Provider Profile Details
NPI Number
1649649211
Provider Name
Carol L Stephens
Credential
CADCI
Provider Entity Type
Individual
Gender
Female
Address
109 N.e. Manzanita Ave, Grants Pass, OR, 97526-1400
Phone Number
541-479-8847
Fax Number
541-471-2679
Provider Enumeration Date
09/24/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YA0400X 05 OR
500701179 05 OR
institution
Provider Business Practice Location Address Details
Address
109 N.e. Manzanita Ave
City
State
Zip
97526-1400
Phone Number
541-479-8847
Fax Number
541-471-2679
person
Provider Business Mailing Address Details
Address
109 N.e. Manzanita Ave
City
State
Zip
97526-1400
Phone Number
541-479-8847
Fax Number
541-471-2679
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15-01-12 (Oregon)
Definition
Definition to come...
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