Individual
JOSEPHINE CASEY WITTE PRUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LMFT
Contact information
Practice address
3575 DONALD ST, SUITE #105, EUGENE, OR 97405-4753
(541) 203-3876
Mailing address
3022 ONYX PL, EUGENE, OR 97405-4261
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/21/2012
Last updated
12/31/2015
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