Organization
BLACK SHEEP THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINXI CADDEL LPC (OWNER)
(541) 329-9470
Entity
Organization
Contact information
Practice address
1257 HIGH ST, EUGENE, OR 97401-3282
(541) 329-9470
Mailing address
3425 POTTER ST, EUGENE, OR 97405-4268
(541) 329-9470
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
12/23/2024
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