Individual provider · Type 1 NPI

Stephen Gail Faye Tirado

Mental Health Counselor · Redmond, OR

NPI number 1497125728 Active

Practice location

1655 SW Highland Ave, #3
Redmond, OR 97756-2558

Fax (541) 504-7017

Mailing address

937 SW 11th St, Apt 1
Redmond, OR 97756-3048

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1497125728

Stephen Gail Faye Tirado's National Provider Identifier is 1497125728, issued on Sep 29, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Redmond, OR. The record was last updated on Sep 29, 2015.