Individual
STACIE MUNRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 W MAIN ST, CHEHALIS, WA 98532-4817
(360) 748-4339
(360) 748-3349
Mailing address
PO BOX 1371, CHEHALIS, WA 98532-0340
(360) 948-0203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/05/2019
Last updated
02/06/2024
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