Provider Demographics
NPI:1881053130
Name:STIEGELER, MARIAN AUDREY (LPC)
Entity type:Individual
Prefix:
First Name:MARIAN
Middle Name:AUDREY
Last Name:STIEGELER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11498
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97440-3698
Mailing Address - Country:US
Mailing Address - Phone:541-294-1010
Mailing Address - Fax:541-538-6466
Practice Address - Street 1:105 E HILLIARD LN
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404
Practice Address - Country:US
Practice Address - Phone:541-294-1010
Practice Address - Fax:541-653-8646
Is Sole Proprietor?:No
Enumeration Date:2016-02-15
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORC4867OtherLICENSE