Individual provider · Type 1 NPI

Patricia Stack Sampson

Mental Health Counselor · Stayton, OR

NPI number 1255834271 Active

Practice location

2340 Martin Dr Ste 103
Stayton, OR 97383-1672

Fax (503) 509-2933

Mailing address

1732 N 6th Ave
Stayton, OR 97383-1236

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1255834271

Patricia Stack Sampson's National Provider Identifier is 1255834271, issued on Mar 15, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stayton, OR. The record was last updated on Mar 15, 2018.