Individual
ANDREW JOSEPH DIFFENDERFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S. PSYCHOLOGY
Contact information
Practice address
499 W 4TH AVE, EUGENE, OR 97401-2505
(541) 686-1262
Mailing address
4300 GOODPASTURE LOOP APT 66, EUGENE, OR 97401-1417
(541) 844-8771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/14/2013
Last updated
09/14/2013
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