Individual
ANDRES LARIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1345 BIRCH AVE, COTTAGE GROVE, OR 97424-1416
(541) 942-3939
Mailing address
1340 E 19TH AVE, APT. #7, EUGENE, OR 97403-1457
(801) 989-2889
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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