Individual
MISS DEBRA MAE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1790 W 11TH AVE STE 290, EUGENE, OR 97402-3759
(541) 686-1262
Mailing address
1435 W 24TH PL, PO BOX 2405, EUGENE, OR 97405-1808
(541) 686-9969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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