| Stephanie Moore, | |
|
418 Nw 6th St Ste 102, Grants Pass, OR 97526-2006 | |
| (541) 672-2691 | |
| Not Available |
| Full Name | Stephanie Moore |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 418 Nw 6th St Ste 102, Grants Pass, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134639891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Moore, Po Box 1121, Roseburg, OR 97470-0254 Ph: () - | Stephanie Moore, 418 Nw 6th St Ste 102, Grants Pass, OR 97526-2006 Ph: (541) 672-2691 |
Desarae Margaret Lane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 715 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-956-4943 | |
Ms. Lisa Jean Meredith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 Sw G St, Grants Pass, OR 97526 Phone: 541-476-2373 Fax: 541-476-1526 | |
Taylor Way, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1750 Nebraska Ave, Grants Pass, OR 97527 Phone: 541-476-3302 | |
Tamra Blanchard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1349 Golden Park Dr Apt B, Grants Pass, OR 97527 Phone: 541-761-3989 Fax: 541-226-2356 | |
Samantha Tevis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 Sw G St, Grants Pass, OR 97526 Phone: 541-476-2373 | |
Seann Gregory, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527 Phone: 541-956-4943 | |
Jorge Romero, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 Sw G St, Grants Pass, OR 97526 Phone: 541-476-2373 |