Individual
MRS. STACEY LYNN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-II, B.S.
Contact information
Practice address
2586 12TH PL SE, SALEM, OR 97302-2536
(503) 371-4160
(503) 375-9727
Mailing address
2586 12TH PL SE, SALEM, OR 97302-2536
(503) 371-4160
(503) 375-9727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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