Individual
MARK TIMOTHY FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., M.F.T.
Contact information
Practice address
341 E. 12TH AVE., EUGENE, OR 97401
(541) 342-8255
Mailing address
2446 MADISON STREET, EUGENE, OR 97405
(541) 556-1683
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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