# SUZANNE PONSIOEN THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588200588
- **Authorized official:** SUZANNE M PONSIOEN (SOLE OWNER & PROVIDER)
- **Authorized official phone:** (541) 653-2958

## Contact information

- **Practice address:** 328 W BROADWAY, EUGENE, OR 97401-2826
- **Practice address phone:** (541) 653-2958
- **Practice address fax:** (541) 610-1760
- **Mailing address:** 328 W BROADWAY, EUGENE, OR 97401-2826
- **Mailing address phone:** (541) 653-2958
- **Mailing address fax:** (541) 610-1760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/25/2019
- **Last updated:** 02/09/2024