Individual
DANIELLE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 SE ROSE ST, ROSEBURG, OR 97470-3942
(541) 900-1506
Mailing address
850 SE ROSE ST, ROSEBURG, OR 97470-3942
(541) 900-1506
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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