MS. TEDRA STUART, LPC

In Home Supportive Care

Active Individual
NPI: 1104076140

Practice Address

3406 WATERMARK DR
Springfield, OR 97477

Phone: (503) 798-0706

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No C1334 (OR)
Counselor - Professional 101YP2500X No C1334 (OR)
In Home Supportive Care 253Z00000X Yes 859573 (OR)

Frequently Asked Questions

NPI 1104076140 is the National Provider Identifier for MS. TEDRA STUART, LPC, a In Home Supportive Care provider located in Springfield, OR. This NPI was enumerated on September 26, 2008.
MS. TEDRA STUART, LPC practices at 3406 WATERMARK DR, Springfield, OR 97477.

Quick Facts

NPI
1104076140
Type
Individual
Enumerated
Sep 26, 2008
Last Updated
Sep 22, 2022

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