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Individual

MRS. NIKKI RENEE EHRMANTROUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS QMHP

Contact information

Practice address
576 OLIVE STREET SUITE 307, DIRECTION SERVICE COUNSELING CENTER, EUGENE, OR 97401
(541) 344-7303
(541) 686-6283
Mailing address
PO BOX 2101, JASPER, OR 97438
(541) 726-8819

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037759
OR
Enumeration date
11/28/2006
Last updated
07/08/2007
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