Organization
LISA CARLSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CARLSON (THERAPIST / OWNER)
(541) 912-1040
Entity
Organization
Contact information
Practice address
1001 WASHINGTON ST STE 6, EUGENE, OR 97401-3419
(541) 912-1040
Mailing address
1711 WILLAMETTE ST, STE 301, PMB 177, EUGENE, OR 97401
(541) 912-1040
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
01/18/2024
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