Individual
STACIE PAGE MCGRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
388 STATE ST STE 704, SALEM, OR 97301-4023
(503) 930-0272
Mailing address
2491 CRESTBROOK DR NW, SALEM, OR 97304-2752
(503) 930-0272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
75987
CA
101YP2500X
Professional Counselor
Primary
C5681
OR
Other
Enumeration date
08/14/2013
Last updated
05/11/2024
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