Whalio Doctors

NPI 1003260571

Desiree Dawn Stang, LPCCADCIII

Practitioner Mental Health Counselor Surprise, AZ

Practice location

Address
15878 W Statler St, Surprise, AZ 85374-5726
Phone
(503) 510-0276

Registered specialties (3)

Mental Health Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence LPC-23078 (AZ)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 20-05-25 (OR)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence C5305 (OR)

Registry record

NPI
1003260571
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Apr 2016
Record last updated
16 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.