Organization
EUGENE THERAPY LLC
Active
Other names
Oregon Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH PESCE (SECRETARY)
(904) 605-4986
Entity
Organization
Contact information
Practice address
401 E 10TH AVE, STE 330, EUGENE, OR 97401-3317
(541) 868-2004
Mailing address
401 E 10TH AVE, STE 330, EUGENE, OR 97401-3317
(541) 868-2004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C2145
OR
106H00000X
Marriage & Family Therapist
T0624
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
539991
OR
Other
Enumeration date
01/09/2010
Last updated
02/07/2023
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