Individual
DIANE L STAMPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
164 MEADOW VIEW DR, PHOENIX, OR 97535-9431
(541) 261-5440
Mailing address
164 MEADOW VIEW DR, PHOENIX, OR 97535-9431
(541) 261-5440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C1746
OR
101YP2500X
Professional Counselor
C1746
OR
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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