Individual
MR. JAY ALAN FLATTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-R, BA
Contact information
Practice address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 684-4137
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 684-4137
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-22-1625
OR
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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