Individual
MS. STACY JEAN NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
29398 RECOVERY WAY, JUNCTION CITY, OR 97448-8447
(541) 465-2505
Mailing address
1400 EXECUTIVE PKWY STE 260, EUGENE, OR 97401-7121
(541) 802-6597
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
L6376
OR
Other
Enumeration date
11/04/2009
Last updated
11/27/2023
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