Individual
CHRISTAN R. STAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2475 S 2ND, LEBANON, OR 97355-2409
(541) 990-2090
(541) 738-6832
Mailing address
2475 S 2ND, LEBANON, OR 97355-2409
(541) 990-2090
(541) 738-6832
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
10/30/2008
Last updated
05/08/2023
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