Individual
MS. DEZIRE CAVITTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
MA, NCC
Contact information
Practice address
364 ARCHIE ST, EUGENE, OR 97402-6569
(541) 727-2273
Mailing address
364 ARCHIE ST, EUGENE, OR 97402-6569
(541) 727-2273
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R9595
OR
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730353251
NPI
OR
05
—
BX21058A
—
OR
Enumeration date
04/15/2008
Last updated
01/02/2025
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