Individual
SANDRA LEE GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 W 4TH AVE, EUGENE, OR 97402-5022
(541) 762-4575
(541) 762-0728
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 684-4100
(541) 684-4156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
THW000004015
OR
Other
Enumeration date
11/22/2020
Last updated
11/22/2023
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