Individual
MRS. MINDY EAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
11000 NW PARSON RD, FOREST GROVE, OR 97116-8152
(812) 629-3994
Mailing address
11000 NW PARSON RD, FOREST GROVE, OR 97116-8152
(812) 629-3994
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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