Individual
KIM LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
149 W 12TH AVE, EUGENE, OR 97401-3408
(541) 762-4400
(541) 684-4156
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 684-4100
(541) 684-4156
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C7524
OR
Other
Enumeration date
04/12/2019
Last updated
04/04/2025
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