Individual
ZAKARY AARON KREIDER NUSSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1258 HIGH ST, EUGENE, OR 97401-3238
(541) 342-8437
Mailing address
1258 HIGH ST, EUGENE, OR 97401-3238
(541) 342-8437
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/18/2010
Last updated
07/27/2017
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