Individual
DIANA LORENE GERONIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
400 E 2ND AVE STE 104E, EUGENE, OR 97401-2452
(541) 357-7502
Mailing address
789 CHERRY AVE, EUGENE, OR 97404-3192
(541) 790-9261
(541) 357-7102
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T1526
OR
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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