Healthcare Provider Details

I. General information

NPI: 1881053130
Provider Name (Legal Business Name): MARIAN AUDREY STIEGELER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2016
Last Update Date: 05/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 E HILLIARD LN
EUGENE OR
97404
US

IV. Provider business mailing address

PO BOX 11498
EUGENE OR
97440-3698
US

V. Phone/Fax

Practice location:
  • Phone: 541-294-1010
  • Fax: 541-653-8646
Mailing address:
  • Phone: 541-294-1010
  • Fax: 541-538-6466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierC4867
Identifier TypeOTHER
Identifier StateOR
Identifier IssuerLICENSE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: