Individual
MS. PORSHEA PENDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, LMFT, CADC I
Contact information
Practice address
767 WILLAMETTE ST, 306, EUGENE, OR 97401-2952
(541) 485-1167
Mailing address
767 WILLAMETTE ST, 306, EUGENE, OR 97401-2952
(541) 485-1167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
07-12-38
OR
106H00000X
Marriage & Family Therapist
Primary
T0709
OR
Other
Enumeration date
05/16/2007
Last updated
07/30/2010
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