Individual
SOMEN MAITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC ASSOCIATE
Contact information
Practice address
1075 WASHINGTON ST, EUGENE, OR 97401-4606
(541) 321-2278
(541) 246-8826
Mailing address
1075 WASHINGTON ST, EUGENE, OR 97401-4606
(541) 321-2278
(541) 246-8826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C9367
OR
Other
Enumeration date
05/26/2022
Last updated
01/13/2025
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