Whalio Doctors

NPI 1104076140

Tedra Stuart, LPC

Practitioner In Home Supportive Care Agency Springfield, OR

Practice location

Address
3406 Watermark Dr, Springfield, OR 97477-6725
Phone
(503) 798-0706

Registered specialties (3)

In Home Supportive Care Agency Primary
Agencies Taxonomy 253Z00000X Licence 859573 (OR)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence C1334 (OR)
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence C1334 (OR)

Registry record

NPI
1104076140
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 Sep 2008
Record last updated
22 Sep 2022

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.