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Organization
LOOKING GLASS COMMUNITY SERVICES
Active
Organization
LOOKING GLASS COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE JACKSON (DIRECTOR OF FINANCE)
(541) 686-2688
Entity
Organization
Contact information
Practice address
260 E 11TH AVE, EUGENE, OR 97401-3247
(541) 484-4428
(541) 484-7212
Mailing address
1790 W 11TH AVE, SUITE 200, EUGENE, OR 97402-3758
(541) 686-2688
(541) 345-7605
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182421
—
OR
05
—
183681
—
OR
05
—
219972
—
OR
Enumeration date
07/22/2006
Last updated
09/30/2016
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