Individual
CAMILA FAZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 E 11TH AVE, EUGENE, OR 97401-3247
(541) 484-4428
Mailing address
275 S GARDEN WAY APT 255, EUGENE, OR 97401-5945
(408) 888-9466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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