| Stages Counseling Llc | |
|
2659 Commercial St Se. Suite 200 Salem OR 97302-4496 | |
| (503) 581-0657 | |
| (503) 581-4025 |
| Full Name | Stages Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 2659 Commercial St Se., Salem, Oregon |
| Authorized Official Name and Position | Fiona Stephanie Standen (OWNER) |
| Authorized Official Contact | 5035810657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stages Counseling Llc 2659 Commercial St Se Suite 200 Salem OR 97302-4496 Ph: (503) 581-0657 | Stages Counseling Llc 2659 Commercial St Se. Suite 200 Salem OR 97302-4496 Ph: (503) 581-0657 |
| NPI Number | 1023395084 |
|---|---|
| Provider Enumeration Date | 11/04/2011 |
| Last Update Date | 02/29/2012 |
| Medicare PECOS PAC ID | 1052579513 |
|---|---|
| Medicare Enrollment ID | O20120301000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023395084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | L3040 (Oregon) | Primary |
| Provider Name | Fiona S Standen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164640181 PECOS PAC ID: 9133180995 Enrollment ID: I20041026000085 |
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