Individual
ERIN ELLEFSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
348 RUBY AVE, EUGENE, OR 97404-2033
(541) 461-3075
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 956-4943
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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