Individual
JACQUELINE VAN DER ZWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 CLUB RD STE 350, EUGENE, OR 97401-2599
(541) 343-1728
Mailing address
66 CLUB RD STE 350, EUGENE, OR 97401-2599
(541) 343-1728
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C4885
OR
Other
Enumeration date
08/31/2015
Last updated
09/17/2022
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