| NPI | 1164018271 |
|---|---|
| Other Name | TIFFANY STADLER |
| Entity Type | Organization |
| Authorized Contact | TIFFANY CORINNE STADLER Owner/Provider 541-527-5774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2023-08-28 |