Individual
STEPHANIE ANNE CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
357 NE COURT ST, PRINEVILLE, OR 97754-1936
(971) 275-5083
(541) 504-7535
Mailing address
1319 NE BARNEY ST, PRINEVILLE, OR 97754-2013
(971) 275-5083
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-21-746
OR
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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