Dean, Stefanie A

Dean, Stefanie A is an sole proprietor health care provider with primary practice located at 4744 Liberty Rd S Ste 220 , Salem OR 97302. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dean, Stefanie A can be contacted via phone (541) 200-5046.

Contact Information

Primary practice address
4744 Liberty Rd S Ste 220 Salem OR 97302
Phone: (541) 200-5046
Fax: (503) 385-8505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Professional 101YP2500X C3144 Oregon

Profile Details

NPI number 1144598525
LBN Legal business name Dean, Stefanie A
Credentials LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2011
Last updated Apr 22nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144598525 NPPES
Oregon MEDICAID 500757950

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