Individual
MS. MARY LILLIAN STELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9830 NE CASCADES PKWY STE 200, PORTLAND, OR 97220-6834
(503) 239-8101
(503) 408-5021
Mailing address
9830 NE CASCADES PKWY STE 200, PORTLAND, OR 97220-6834
(503) 239-8101
(503) 408-5021
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
M5714
OR
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M5714
STATE OF OREGON SOCIAL WORK
OR
Enumeration date
05/03/2013
Last updated
03/21/2014
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