Individual
SANDRA MACKERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
398 HIGH ST, EUGENE, OR 97401-2310
(541) 344-1121
(541) 344-4780
Mailing address
4080 REED RD SE STE 150, SALEM, OR 97302-1335
(503) 581-1732
(541) 686-0359
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C5627
OR
101YP2500X
Professional Counselor
Primary
C5627
OR
Other
Enumeration date
04/26/2015
Last updated
06/09/2020
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