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Stacie M Wentling, CSWA,QMHP,CADCI
Mental Health Counselor in Portland, Oregon
NPI 1801021159

Stacie M Wentling is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Stacie M Wentling practices in Portland, OR and has the professional credentials of CSWA,QMHP,CADCI. The NPI Number for Stacie M Wentling is 1801021159 and holds a License No. (Oregon).

The current practice location address for Stacie M Wentling is 847 Ne 19Th Ave Ste 100, Portland, OR and can be reached out via phone at 541-883-3471 and via fax at 541-883-3524.

Location: 847 Ne 19Th Ave Ste 100, Portland, OR, 97207-8459
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Provider Profile Details
NPI Number
1801021159
Provider Name
Stacie M Wentling
Credential
CSWA,QMHP,CADCI
Provider Entity Type
Individual
Gender
Female
Address
847 Ne 19Th Ave Ste 100, Portland, OR, 97207-8459
Phone Number
541-883-3471
Fax Number
541-883-3524
Provider Enumeration Date
05/15/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1114058898 05 OR
18-01-16 01 OR CERTIFIED DRUG AND ALCOHOL COUNSELOR I
A5434 01 OR CLINICAL SOCIAL WORK ASSOCIATE
institution
Provider Business Practice Location Address Details
Address
847 Ne 19Th Ave Ste 100
City
State
Zip
97232-2684
Phone Number
541-883-3471
Fax Number
541-883-3524
person
Provider Business Mailing Address Details
Address
847 Ne 19Th Ave Ste 100
City
State
Zip
97232-2684
Phone Number
541-883-3471
Fax Number
541-883-3524
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
A5434 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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