Individual
JULIAN SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
10011 SE DIVISION ST STE 202, PORTLAND, OR 97266-1353
(503) 928-3998
(541) 868-2003
Mailing address
399 E 10TH AVE, EUGENE, OR 97401-3380
(541) 868-2004
(541) 868-2003
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C7888
OR
Other
Enumeration date
09/18/2021
Last updated
01/31/2024
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