| Mrs Stacie Nichole Harrison, LMSW, LCSW | |
|
51 Sw Lee St, Newport, OR 97365-3823 | |
| (541) 574-5960 | |
| (541) 265-0601 |
| Full Name | Mrs Stacie Nichole Harrison |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 51 Sw Lee St, Newport, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932630522 | NPI | - | NPPES |
| 500722862 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 35928 (Idaho) | Secondary |
| 101YM0800X | Counselor - Mental Health | NON-LICENSED CSWA (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stacie Nichole Harrison, LMSW, LCSW 6885 Otter Crest Loop, Otter Rock, OR 97369-9711 Ph: (208) 206-9480 | Mrs Stacie Nichole Harrison, LMSW, LCSW 51 Sw Lee St, Newport, OR 97365-3823 Ph: (541) 574-5960 |
Mr. Jeffrey Price, RECOVERY MENTOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Sw Lee St, Newport, OR 97365 Phone: 541-574-5960 Fax: 541-574-6252 | |
Jordyn Emily Hubbard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Sw Lee St, Newport, OR 97365 Phone: 541-574-5960 | |
Jase Eli Pecanha, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Sw Lee St, Newport, OR 97365 Phone: 541-574-5960 Fax: 541-265-0606 | |
Sofia Louise Goheen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Sw Lee St, Newport, OR 97365 Phone: 541-574-5960 | |
Kathryn Mcdonald Shumate, LPC, LSATP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1365 Ne Lakewood Dr Apt 322, Newport, OR 97365 Phone: 503-758-2093 | |
Gina D Golden-willeford, CASE MANAGER 2, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Sw Lee St, Newport, OR 97365 Phone: 541-574-5960 Fax: 541-265-0601 | |
Michael Henry Mahlman, M. ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 36 Sw Nye St, Newport, OR 97365 Phone: 541-265-6611 Fax: 541-265-4945 |