Individual
TEGAN COLTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2145 CENTENNIAL PLZ, EUGENE, OR 97401-2474
(541) 684-6825
Mailing address
2145 CENTENNIAL PLZ, EUGENE, OR 97401-2474
(541) 684-6825
(541) 684-6826
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/29/2016
Last updated
01/17/2025
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