Individual
MR. DOMINIC PALLAZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
2145 CENTENNIAL PLZ, EUGENE, OR 97401-2421
(541) 485-6340
(541) 984-3214
Mailing address
90206 LEDA WAY, EUGENE, OR 97402-9621
(541) 689-2886
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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