# EPPINGER WELLNESS LLC

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

## Provider details

- **NPI number:** 1952129009
- **Authorized official:** JACQUELINE M EPPINGER (LICENSED MARRIAGE AND FAMILY THERAP)
- **Authorized official phone:** (410) 693-4061

## Contact information

- **Practice address:** 3123 SE 31ST AVE APT A, PORTLAND, OR 97202-1981
- **Practice address phone:** (410) 693-4061
- **Mailing address:** 2355 STATE ST \# 101, SALEM, OR 97301-4541
- **Mailing address phone:** (424) 273-5925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2024
- **Last updated:** 09/27/2024