Individual
MR. GREGORY VINCENT RUNDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW,NACSW
Contact information
Practice address
765 LARCH ST, EUGENE, OR 97405-4669
(541) 543-9421
Mailing address
765 LARCH ST, EUGENE, OR 97405-4669
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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