Individual
DR. BRETT ANTHONY VICARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
374 W 12TH AVE, EUGENE, OR 97401-1633
(541) 829-3105
Mailing address
2597 GARFIELD ST, EUGENE, OR 97405-6401
(541) 829-3105
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1694
OR
Other
Enumeration date
06/13/2022
Last updated
01/10/2023
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