Organization
STARGAZER THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH JO SHERIDAN LCSW (OWNER/OPERATOR)
(503) 877-2358
Entity
Organization
Contact information
Practice address
7256 SE DOT ST, ADAIR VILLAGE, OR 97330-6573
(503) 877-2358
Mailing address
1915 NE STUCKI AVE STE 308, HILLSBORO, OR 97006-6951
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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