Individual
JON WILLIAM TALEBREZA-MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
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
(505) 868-2004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I-06318
NM
1041C0700X
Clinical Social Worker
L6138
OR
1041C0700X
Clinical Social Worker
Primary
L6895
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L6895
OREGON BOARD OF SOCIAL WORK EXAMINERS
OR
Enumeration date
04/13/2007
Last updated
05/02/2022
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