Individual
STEPHANIE Z LUKASZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
356 NE BEACON DR, GRANTS PASS, OR 97526-3815
(541) 672-2691
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 672-2691
(541) 673-5642
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
12/08/2017
Last updated
01/28/2021
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