Individual
LAUREL BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA, QMHP
Contact information
Practice address
3333 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(541) 222-6931
Mailing address
30493 IZAAK WALTON RD, EUGENE, OR 97405-7032
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
24-QMHP-R-3216
OR
1041C0700X
Clinical Social Worker
Primary
A15845
OR
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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