Individual
STACEY LEE PAULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA, CADC I
Contact information
Practice address
195 W 12TH AVE, EUGENE, OR 97401-3408
(541) 762-4310
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 762-4310
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/02/2007
Last updated
03/31/2017
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