Individual
MR. LINCOLN TYLER WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., L.P.C.
Contact information
Practice address
895 COUNTRY CLUB RD STE A100, EUGENE, OR 97401-6004
(503) 740-1818
(855) 476-6169
Mailing address
895 COUNTRY CLUB RD STE A100, EUGENE, OR 97401-6004
(503) 740-1818
(855) 476-6169
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4452
NE
101YM0800X
Mental Health Counselor
C3843
OR
101YP2500X
Professional Counselor
2167
NE
101YP2500X
Professional Counselor
Primary
C3843
OR
Other
Enumeration date
01/05/2015
Last updated
05/04/2021
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