Individual
MR. SEAN STRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC CADC III
Contact information
Practice address
593 NW YORK DR, BEND, OR 97703-7264
(541) 728-3325
Mailing address
PO BOX 26, REDMOND, OR 97756-0002
(503) 729-0777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16-06-25
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60484457
WA
101YP2500X
Professional Counselor
Primary
C5136
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500720796
—
OR
Enumeration date
04/23/2014
Last updated
10/16/2019
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