Organization
AMETHYST COUNSELING ASSOCIATES
Active
Organization
AMETHYST COUNSELING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE E ROGERS PHD LPC (OWNER)
(541) 484-4881
Entity
Organization
Contact information
Practice address
3413 STARK ST, EUGENE, OR 97404-1570
(541) 484-4881
Mailing address
3413 STARK ST, EUGENE, OR 97404-1570
(541) 484-4881
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C0810
OR
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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