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Individual

DR. LINDA SELENA MYERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DCC

Contact information

Practice address
399 E 10TH AVE, EUGENE, OR 97401-3380
(541) 868-2004
Mailing address
399 E 10TH AVE, EUGENE, OR 97401-3380
(541) 868-2004

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
5231
SC
101YM0800X
Mental Health Counselor
LH61331189
WA
101YM0800X
Mental Health Counselor
TPMC2417
FL
101YP2500X
Professional Counselor
Primary
C6693
OR
101YP2500X
Professional Counselor
LCPC9188
ID
101YP2500X
Professional Counselor
LPC007949
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5231
LICENSED PROFESSIONAL COUNSELOR
SC
01
5304
LICENSED PROFESSIONAL COUNSELOR SUPERVISOR
SC
05
PC1152
SC
Enumeration date
05/11/2006
Last updated
10/23/2024
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