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Individual

TATIANA IONELA SPOREA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
1258 HIGH ST, EUGENE, OR 97401-3238
(541) 342-8437
(458) 201-7150
Mailing address
1258 HIGH ST, EUGENE, OR 97401-3238
(541) 342-8437
(458) 201-7150

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31805
IL

Other

Enumeration date
06/30/2016
Last updated
04/28/2017
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