Individual
DESTINY KOHLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1258 HIGH STREET, EUGENE, OR 97401
(541) 342-8437
Mailing address
1480 MARKET ST, SPRINGFIELD, OR 97477-3336
(541) 680-1289
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/08/2015
Last updated
09/24/2015
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