Individual
STACY ANN MAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II, QMHA
Contact information
Practice address
1040 OAK ST, EUGENE, OR 97401-3132
(541) 302-6020
Mailing address
78 CENTENNIAL LOOP STE A, EUGENE, OR 97401-7900
(541) 393-0777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/19/2016
Last updated
03/03/2023
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