Individual
MISS KELSEY RENE FLEENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 E 11TH AVE, EUGENE, OR 97401-3246
(541) 683-1641
Mailing address
350 E 11TH AVE, EUGENE, OR 97401-3246
(541) 683-1641
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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