Individual
ALICIA STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6444 FAIRWAY AVE SE, SALEM, OR 97306-3073
(971) 901-2731
Mailing address
6102 SE 87TH AVE, PORTLAND, OR 97266-5326
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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