Individual
MRS. REBEKAH STINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPC, LPC INTERN
Contact information
Practice address
7455 SW BEVELAND ST., TIGARD, OR 97223
(503) 328-0420
Mailing address
7455 SW BEVELAND RD, TIGARD, OR 97223-8610
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4932
OR
Other
Enumeration date
11/10/2015
Last updated
08/02/2018
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