Individual
ANYELOT ZARTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-R T-21-1078
Contact information
Practice address
1459 CITY VIEW ST APT 210, EUGENE, OR 97402-3384
(541) 687-2667
Mailing address
944 W 5TH AVE, EUGENE, OR 97402-5106
(541) 687-2667
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-21-1078
OR
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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