Individual
MS. LAURA JEAN STALIONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-R
Contact information
Practice address
12670 NW BARNES RD STE 200, PORTLAND, OR 97229-9001
(971) 272-8968
Mailing address
4616 SE 78TH AVE, PORTLAND, OR 97206-4382
(206) 383-7814
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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