Individual
SIMONE STREETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 OAK ST, EUGENE, OR 97401-3132
(541) 642-6987
Mailing address
1040 OAK ST, EUGENE, OR 97401-3132
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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