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Organization
CENTRO LATINO AMERICANO
Active
Organization
CENTRO LATINO AMERICANO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ALFREDO MARQUEZ ALONSO CADC-R (COUNSELOR)
(541) 697-2667
Entity
Organization
Contact information
Practice address
944 W 5TH AVE, EUGENE, OR 97402-5106
(541) 687-2667
Mailing address
944 W 5TH AVE, EUGENE, OR 97402-5106
(541) 687-2667
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
10/02/2023
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