Individual
MR. KRISTOPHER D STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1205 NE 7TH ST, GRANTS PASS, OR 97526-1423
(541) 441-1726
Mailing address
1061 SE ASHLEY PL, GRANTS PASS, OR 97526-3238
(541) 471-2991
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0493
OR
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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