Individual
STEFANIE P HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC APPLICANT
Contact information
Practice address
404 NW 23RD ST, CORVALLIS, OR 97330-5539
(541) 753-7801
Mailing address
518 SW 3RD, CORVALLIS, OR 97333
(541) 753-7801
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-16-316
OR
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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