Individual
ROBYN BANNON
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
2816 ELYSIUM AVE, EUGENE, OR 97401-8251
(708) 790-3535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L11680
OR
Other
Enumeration date
07/10/2019
Last updated
08/09/2024
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