Individual
ASA RAYMON CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
149 W 12TH AVE, EUGENE, OR 97401-6215
(541) 344-0031
(541) 344-0772
Mailing address
1170 PEARL ST, EUGENE, OR 97401-3541
(541) 743-4340
(541) 743-4369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/18/2013
Last updated
03/03/2015
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