Individual
MS. WILLOW ANN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
71 E 15TH AVE, EUGENE, OR 97401-4005
(541) 461-5424
Mailing address
1255 PEARL ST, SUITE 102, EUGENE, OR 97401-3570
(541) 687-6983
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC C1524
OR
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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