Individual provider · Type 1 NPI

Stacy Jim

Mental Health Counselor · Redmond, OR

NPI number 1053842690 Active

Practice location

340 NW 5th St, Box 1710
Redmond, OR 97756-1869

Call (541) 516-4087 Map

Fax (541) 504-1195

Mailing address

850 SW 4th St
Madras, OR 97741-9628

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053842690

Stacy Jim's National Provider Identifier is 1053842690, issued on Mar 24, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Redmond, OR. The record was last updated on Mar 24, 2017.