Individual
MRS. LEEANDRA RAYLENE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, QMHP
Contact information
Practice address
10 SHELTON MCMURPHEY BLVD, EUGENE, OR 97401
(541) 485-2711
(888) 975-0250
Mailing address
10 SHELTON MCMURPHEY BLVD, EUGENE, OR 97401-4928
(541) 485-2711
(888) 975-0250
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500685146
—
OR
Enumeration date
05/17/2010
Last updated
07/27/2018
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