Individual
MRS. STEFANIE BROSEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADCII CRM QMHA
Contact information
Practice address
350 E 11TH AVE, EUGENE, OR 97401-3246
(541) 683-1641
Mailing address
350 E 11TH AVE, EUGENE, OR 97401-3246
(541) 683-1641
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
09-12-53
OR
Other
Enumeration date
01/02/2016
Last updated
12/13/2020
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