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Individual

MR. JEFFREY NED CHRISTENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC

Contact information

Practice address
2411 MARTIN LUTHER KING JR BLVD, EUGENE, OR 97401-5824
(541) 682-3608
Mailing address
413 KINGSBURY AVE, EUGENE, OR 97404-1072
(541) 654-2513

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003638
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004945263
VA
05
010114128
VA
01
146171
ANTHEM PRIVATE PRAC.
VA
Enumeration date
10/03/2006
Last updated
05/16/2008
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