STACI NICOLE ENSERINK

ROSEBURG, OR
NPI1033985379
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-11-28
Last Update Date2023-11-28
Business Address
STACI NICOLE ENSERINK
545 W UMPQUA ST STE 1
ROSEBURG, OR 97471-2979
Phone number: 541-957-5646
Mailing Address
STACI NICOLE ENSERINK
616 W LUELLEN DR # 11
ROSEBURG, OR 97471-2618
Phone number: 541-643-9763
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