Individual
SALLY L KIRKPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1200 HILYARD ST STE 460, EUGENE, OR 97401-8165
(458) 205-6555
Mailing address
1216 WOODSIDE DR, EUGENE, OR 97401-6414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
L3982
OR
1041C0700X
Clinical Social Worker
Primary
L3982
OR
Other
Enumeration date
06/21/2022
Last updated
08/12/2022
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