Individual
CYNTHIA STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6030 SE 52ND AVE STE 204, PORTLAND, OR 97206-6801
(971) 291-9947
Mailing address
6030 SE 52ND AVE STE 204, PORTLAND, OR 97206-6801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
07/26/2021
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