Individual
AUDRA LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
260 E 11TH AVE, EUGENE, OR 97401-3247
(541) 484-4428
Mailing address
260 E 11TH AVE, EUGENE, OR 97401-3247
(541) 484-4428
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L10907
OR
Other
Enumeration date
12/04/2008
Last updated
07/27/2022
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