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Individual

STACEY SEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC 2

Contact information

Practice address
18600 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6723
(503) 735-5931
(503) 239-8407
Mailing address
870 82ND DR BLDG C027, GLADSTONE, OR 97027-1803
(971) 202-7193

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1417548470
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
02/01/2021
Last updated
12/23/2024
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