Organization
SUZANNE PONSIOEN THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE M PONSIOEN (SOLE OWNER & PROVIDER)
(541) 653-2958
Entity
Organization
Contact information
Practice address
328 W BROADWAY, EUGENE, OR 97401-2826
(541) 653-2958
(541) 610-1760
Mailing address
328 W BROADWAY, EUGENE, OR 97401-2826
(541) 653-2958
(541) 610-1760
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
02/09/2024
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