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Mrs. Stacie Nichole Harrison, LMSW,LCSW
Mental Health Counselor in Newport, Oregon
NPI 1932630522

Stacie Nichole Harrison is a Mental Health Counselor based in Otter Rock, OR and is specialized in Mental Health. Stacie Nichole Harrison practices in Newport, OR and has the professional credentials of LMSW,LCSW. The NPI Number for Stacie Nichole Harrison is 1932630522 and holds a License No. 35928 (Oregon).

The current practice location address for Stacie Nichole Harrison is 51 Sw Lee St, Newport, OR and can be reached out via phone at 541-574-5960 and via fax at 541-265-0601.

Location: 51 Sw Lee St, Newport, OR, 97369-9711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932630522
Provider Name
Stacie Nichole Harrison
Credential
LMSW,LCSW
Provider Entity Type
Individual
Gender
Female
Address
51 Sw Lee St, Newport, OR, 97369-9711
Phone Number
541-574-5960
Fax Number
541-265-0601
Provider Enumeration Date
03/24/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500722862 05 OR
institution
Provider Business Practice Location Address Details
Address
51 Sw Lee St
City
Newport
State
Oregon
Zip
97365-3823
Phone Number
541-574-5960
Fax Number
541-265-0601
person
Provider Business Mailing Address Details
Address
51 Sw Lee St
City
Newport
State
Oregon
Zip
97365-3823
Phone Number
541-574-5960
Fax Number
541-265-0601
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
35928 (Idaho)
Definition
Definition to come...
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