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Individual

JULIE L MERCHANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
66 CLUB RD STE 160, EUGENE, OR 97401-2439
(541) 345-1722
(541) 485-7049
Mailing address
PO BOX 70779, SPRINGFIELD, OR 97475-0137
(541) 345-1722
(541) 485-7049

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
C5744
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14038439
CAQH ID
05
50075491
OR
Enumeration date
06/26/2017
Last updated
10/09/2024
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