Individual
SKYLAR FAITH VAN WAVEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA - R
Contact information
Practice address
341 E 12TH AVE, EUGENE, OR 97401-3212
(541) 342-8255
(541) 342-7987
Mailing address
341 E 12TH AVE, EUGENE, OR 97401-3212
(541) 342-8255
(541) 342-7987
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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