Individual
KAYLA SHUMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA-1
Contact information
Practice address
990 W 7TH AVE, EUGENE, OR 97402-4612
(541) 735-5609
Mailing address
341 E 12TH AVE, EUGENE, OR 97401-3212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
24-QMHA-I-004583
OR
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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