Individual
NOELANI WILDROSE PENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QHMA
Contact information
Practice address
2145 CENTENNIAL PLZ, EUGENE, OR 97401-2474
(541) 485-6340
Mailing address
2145 CENTENNIAL PLZ, EUGENE, OR 97401-2474
(541) 485-6340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
06/14/2024
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