Individual
AMY MYLEEN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1901 GARDEN AVE STE 206, EUGENE, OR 97403-1934
(541) 205-9168
Mailing address
PO BOX 464, SPRINGFIELD, OR 97477-0064
(541) 205-9168
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C6137
OR
Other
Enumeration date
08/03/2017
Last updated
09/16/2024
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