Individual
STACIA D'ANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
388 STATE ST STE 703, SALEM, OR 97301-4023
(503) 470-6976
Mailing address
388 STATE ST STE 703, SALEM, OR 97301-4023
(503) 470-6976
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C5616
OR
101YM0800X
Mental Health Counselor
C5616
OR
Other
Enumeration date
09/23/2015
Last updated
08/20/2024
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