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Priscilla Ann Stack
Mental Health Counselor in Grants Pass, Oregon
NPI 1750988713

Priscilla Ann Stack is a Mental Health Counselor based in Grants Pass, OR and is specialized in Mental Health. Priscilla Ann Stack practices in Grants Pass, OR. The NPI Number for Priscilla Ann Stack is 1750988713 and holds a License No. (Oregon).

The current practice location address for Priscilla Ann Stack is 214 Nw 3Rd St, Grants Pass, OR and can be reached out via phone at 541-476-0740.

Location: 214 Nw 3Rd St, Grants Pass, OR, 97526-1913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750988713
Provider Name
Priscilla Ann Stack
Credential
Provider Entity Type
Individual
Gender
Female
Address
214 Nw 3Rd St, Grants Pass, OR, 97526-1913
Phone Number
541-476-0740
Fax Number
Provider Enumeration Date
10/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
214 Nw 3Rd St
City
Grants Pass
State
Oregon
Zip
97526-1913
Phone Number
541-476-0740
Fax Number
person
Provider Business Mailing Address Details
Address
214 Nw 3Rd St
City
Grants Pass
State
Oregon
Zip
97526-1913
Phone Number
541-476-0740
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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