Individual
AMANDA HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2149 CENTENNIAL PLZ STE 4, EUGENE, OR 97401-2456
(541) 741-7107
Mailing address
78 CENTENNIAL LOOP, EUGENE, OR 97401-7909
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
07/15/2025
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