Individual
MS. NANCY MAY DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2145 CENTENNIAL PLZ, EUGENE, OR 97401-2421
(541) 684-5825
(541) 684-6826
Mailing address
3255 GATEWAY ST, 139, SPRINGFIELD, OR 97401-2421
(503) 887-5213
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
99-11-09
OR
Other
Enumeration date
03/20/2007
Last updated
03/07/2014
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