Individual
MS. BONNIE THIELKE TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC
Contact information
Practice address
921 COUNTRY CLUB RD STE 222, EUGENE, OR 97401-2238
(541) 686-6000
(541) 344-8239
Mailing address
385 51ST ST, SPRINGFIELD, OR 97478-6025
(541) 556-7681
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R4797
OR
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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