STACIA LYNNAE NILSON

PORTLAND, OR
NPI1578738167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-04-24
Last Update Date2013-05-23
Business Address
Ms. STACIA LYNNAE NILSON LPC
2525 NW LOVEJOY ST SUITE 211
PORTLAND, OR 97210-2859
Phone number: 503-619-9587
Mailing Address
Ms. STACIA LYNNAE NILSON LPC
6107 SW MURRAY BLVD #296
BEAVERTON, OR 97008-4421
Phone number: 503-619-9587