Individual
ASHLEY L CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, QMHP
Contact information
Practice address
1695 JEFFERSON ST, EUGENE, OR 97402-4063
(541) 264-5449
Mailing address
1879 11TH PL, SPRINGFIELD, OR 97477-2687
(541) 501-5207
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
R7896
OR
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5000767629
—
OR
Enumeration date
01/22/2018
Last updated
11/21/2023
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