Organization
INVICTUS THERAPY AND CONSULTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY COHN PHD, LP (OWNER)
(541) 313-6199
Entity
Organization
Contact information
Practice address
911 COUNTRY CLUB RD STE 290, EUGENE, OR 97401-1301
(541) 313-6199
(541) 576-8977
Mailing address
911 COUNTRY CLUB RD STE 290, EUGENE, OR 97401-1301
(541) 313-6199
(541) 576-8977
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500662798
—
OR
Enumeration date
08/26/2019
Last updated
02/21/2024
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