Individual
MS. BETHANY KAISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
20 E 13TH AVE, EUGENE, OR 97401-3535
(503) 246-0197
Mailing address
1085 CANNON CT, EUGENE, OR 97405-4223
(503) 246-0197
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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