Individual
KENDRA VITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
840 LAWRENCE ST, EUGENE, OR 97401-2828
(541) 968-3032
Mailing address
815 LAWRENCE ST APT 10, EUGENE, OR 97401-2868
(541) 968-3032
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C7354
OR
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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