Individual
ELENA JUANITA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1790 W 11TH AVE STE 290, EUGENE, OR 97402-3759
(541) 686-1262
Mailing address
55 H ST, LEBANON, OR 97355-2548
(541) 570-8751
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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