Individual
JENNIFER DEVAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
499 W 4TH AVE, EUGENE, OR 97401-2505
(541) 686-1262
(541) 302-0889
Mailing address
499 W 4TH AVE, EUGENE, OR 97401-2505
(541) 686-1262
(541) 302-0889
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
13006
CO
101YP2500X
Professional Counselor
Primary
C3972
OR
Other
Enumeration date
10/25/2012
Last updated
06/03/2024
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