Individual
CARISSA ROSE STILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
320 SW RAMSEY AVE, GRANTS PASS, OR 97527-5529
(541) 476-2373
Mailing address
320 SW RAMSEY AVE, GRANTS PASS, OR 97527-5529
(541) 476-2373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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