Individual
BERKLEY ANN CARNINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
341 E 12TH AVE, EUGENE, OR 97401-3275
(541) 505-6301
Mailing address
892 PARK AVE, EUGENE, OR 97404-3030
(541) 505-6301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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