Individual
AMBER LYNN FAUTEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
550 RIVER RD, EUGENE, OR 97404-3212
(541) 743-2611
Mailing address
1820 FERRY ST APT 118, EUGENE, OR 97401-5483
(541) 359-9734
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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