Individual
CARISSA VISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 HUBBARD LN, EUGENE, OR 97403-2104
(541) 321-6406
Mailing address
2110 HUBBARD LN, EUGENE, OR 97403-2104
(541) 321-6406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C9979
OR
Other
Enumeration date
02/18/2022
Last updated
05/19/2025
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