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Individual

STEPHEN ANTHONY GRILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC CADC II

Contact information

Practice address
1901 GARDEN AVE STE 203, EUGENE, OR 97403-1934
(541) 335-1921
Mailing address
1901 GARDEN AVE, EUGENE, OR 97403-1934
(541) 335-1921

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C7642
OR

Other

Enumeration date
01/15/2019
Last updated
04/17/2024
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