Individual
CARMEN MARIE MACMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
66 CLUB RD STE 120, EUGENE, OR 97401-2439
(541) 393-5983
(541) 393-5984
Mailing address
66 CLUB RD STE 160, EUGENE, OR 97401-2439
(541) 345-1722
(541) 485-7049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C5822
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15091907
CAQH ID
—
05
—
500661183
—
OR
Enumeration date
01/11/2010
Last updated
02/22/2024
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