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Organization
CHAMPION FAMILY THERAPY, LLC
Active
Organization
CHAMPION FAMILY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CHAMPION LMFT (OWNER)
(541) 632-3909
Entity
Organization
Contact information
Practice address
240 COUNTRY CLUB RD STE B, EUGENE, OR 97401-2479
(541) 343-7200
(844) 364-4271
Mailing address
1574 COBURG RD, EUGENE, OR 97401-4802
(541) 343-7200
(844) 364-4271
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
10/23/2024
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