Individual
TANNER JANNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1040 OAK ST, EUGENE, OR 97401-3132
(541) 342-6987
Mailing address
78 CENTENNIAL LOOP STE A, EUGENE, OR 97401-7900
(541) 302-6035
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
01/25/2018
Last updated
05/04/2018
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