Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | RC 00059173 | WA |
NPI | 1003043332 |
---|---|
Provider Name | Oxsana V Stenersen |
First Address | Vancouver, WA 98668-1678 |
Second Address | Vancouver, WA 98661-3753 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2009 |
Last Update Date | 12/06/2009 |