Individual
JOHN C RODERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A,, LPC INTERN
Contact information
Practice address
101 W 5TH AVE, EUGENE, OR 97401-2603
(541) 682-3608
Mailing address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-3550
(541) 682-3551
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/04/2016
Last updated
03/14/2017
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