Individual
STEPHANIE SIREIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, CADC I
Contact information
Practice address
182 SW ACADEMY ST, STE 333, DALLAS, OR 97338-1996
(503) 623-9289
Mailing address
182 SW ACADEMY ST, STE 333, DALLAS, OR 97338-1996
(503) 623-9289
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14-03-20
OR
101YM0800X
Mental Health Counselor
LPC C4259
OR
101YP2500X
Professional Counselor
Primary
C4259
OR
Other
Enumeration date
05/28/2014
Last updated
12/28/2016
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