STACY ELAINE LUIS

PORTLAND, OR
NPI1497573893
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-24-4363)
Enumeration Date2024-10-03
Last Update Date2024-10-03
Business Address
Mrs. STACY ELAINE LUIS CADC-R
9570 SW BARBUR BLVD
PORTLAND, OR 97219-5412
Phone number: 971-232-2234
Mailing Address
Mrs. STACY ELAINE LUIS CADC-R
9570 SW BARBUR BLVD STE 100
PORTLAND, OR 97219-5412
Phone number: 971-232-2234
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