Individual
MS. VIKKI ANNE CUELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
149 W 12TH AVE, EUGENE, OR 97401-3408
(541) 684-4100
(541) 684-4156
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 684-4100
(541) 684-4156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18-05-06
OR
101YM0800X
Mental Health Counselor
19-QMHA-I-02004
OR
Other
Enumeration date
03/04/2013
Last updated
08/16/2019
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