Individual provider · Type 1 NPI

Tammy Stanisloo

Mental Health Counselor · North Bend, OR

NPI number 1073981791 Active

Practice location

1913 Meade St
North Bend, OR 97459-3432

Call (541) 756-4508 Map

Mailing address

715 SW Ramsey Ave
Grants Pass, OR 97527-5500

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1073981791

Tammy Stanisloo's National Provider Identifier is 1073981791, issued on Sep 11, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in North Bend, OR. The record was last updated on Sep 11, 2015.