Individual
BARCLAY BRASTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LPC
Contact information
Practice address
401 E 10TH AVE, SUITE 200, EUGENE, OR 97401-3317
(541) 554-9353
Mailing address
401 E 10TH AVE, SUITE 200, EUGENE, OR 97401-3317
(541) 554-9353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C0645
OR
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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