Individual
STACEY L COME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDAC-R
Contact information
Practice address
1655 SW HIGHLAND AVE STE 5, REDMOND, OR 97756-2558
(541) 925-2654
Mailing address
61395 WHITE TAIL ST, BEND, OR 97702-2779
(541) 306-0286
(541) 306-0286
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
95386
OR
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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