Individual
AMANDA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA-R, CADC-R
Contact information
Practice address
352 S CALAPOOIA ST STE B, SUTHERLIN, OR 97479-9558
(541) 485-2711
Mailing address
1255 PEARL ST, EUGENE, OR 97401-3570
(417) 995-3865
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-21-742
OR
101YM0800X
Mental Health Counselor
Primary
23-QMHA-R-3708
OR
Other
Enumeration date
02/08/2023
Last updated
03/08/2024
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