STACIE FISH

Counselor

Active Individual
NPI: 1417536020

Practice Address

147 COMMERCIAL ST NE
Salem, OR 97301

Phone: (503) 589-3122

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X No -
Counselor 101Y00000X Yes C9713 (OR)

Frequently Asked Questions

NPI 1417536020 is the National Provider Identifier for STACIE FISH, a Counselor provider located in Salem, OR. This NPI was enumerated on April 2, 2021.
STACIE FISH practices at 147 COMMERCIAL ST NE, Salem, OR 97301.

Quick Facts

NPI
1417536020
Type
Individual
Enumerated
Apr 2, 2021
Last Updated
May 6, 2025

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