Individual
STACY PARLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA MFT, CGACI
Contact information
Practice address
1725 SE TENINO ST, PORTLAND, OR 97202
(503) 568-1427
Mailing address
3212 SE MORRISON ST, 8, PORTLAND, OR 97214
(503) 568-1427
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
G13-08-09
OR
106H00000X
Marriage & Family Therapist
Primary
—
OR
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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