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Individual

MRS. LISA M SPRING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC II, QMHA-1

Contact information

Practice address
149 W. 12TH AVENUE, EUGENE, OR 97401
(541) 762-4414
(541) 344-0772
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 684-4100
(541) 684-4156

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12-06-80
OR
101YM0800X
Mental Health Counselor
20-QMHA-I-02890
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
50070768
OR
Enumeration date
02/02/2007
Last updated
09/30/2020
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