Individual
MRS. ANGEL BREANNA KAMMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
115 W 8TH AVE STE 300, EUGENE, OR 97401-2997
(541) 623-0262
Mailing address
1292 HIGH ST # 1025, EUGENE, OR 97401-3238
(541) 623-0262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
R7256
OR
101YP2500X
Professional Counselor
Primary
C7877
OR
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500779668
—
OR
Enumeration date
09/26/2017
Last updated
12/23/2024
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