Individual
MS. DEBRA YVONNE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3692 HICKORY AVE, EUGENE, OR 97401-5306
(541) 284-7800
Mailing address
1315 DAVID AVE, EUGENE, OR 97404-4729
(541) 359-5012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YM0800X
MENTAL HEALTH COUNSELING
OR
Enumeration date
03/12/2007
Last updated
07/08/2007
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