Individual
MRS. MARLA JO MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1973 GARDEN AVE, EUGENE, OR 97403-1934
(541) 554-4722
Mailing address
1973 GARDEN AVE, EUGENE, OR 97403-1934
(541) 554-4722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C4003
OR
Other
Enumeration date
09/21/2009
Last updated
11/25/2024
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