Individual
MRS. STEFANIE A DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
4744 LIBERTY RD S STE 220, SALEM, OR 97302
(541) 200-5046
(503) 385-8505
Mailing address
4744 LIBERTY RD S STE 220, SALEM, OR 97302-5183
(541) 200-5046
(503) 385-8505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
C3144
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500757950
—
OR
Enumeration date
12/13/2011
Last updated
04/22/2019
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