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Individual

STEPHANIE LYNN VIEU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., LPC, CADC II

Contact information

Practice address
4979 SHORELINE DR N, KEIZER, OR 97303-6307
(541) 419-1643
Mailing address
4979 SHORELINE DR N, KEIZER, OR 97303-6307
(541) 419-1643

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
C3159
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500682029
OR
Enumeration date
05/06/2010
Last updated
12/28/2020
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