Individual
MRS. MAEGAN D MEXICOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1029 RIVER RD, EUGENE, OR 97404-3242
(541) 224-7585
Mailing address
1029 RIVER RD, EUGENE, OR 97404-3242
(541) 224-7585
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C5228
OR
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500668355
—
OR
Enumeration date
08/12/2011
Last updated
12/23/2024
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