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Individual

ANDREW PHILIP CANNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
550 RIVER RD, EUGENE, OR 97404-3212
(541) 743-2611
(541) 868-0340
Mailing address
550 RIVER RD, EUGENE, OR 97404-3212
(541) 743-2611
(541) 868-0340

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
12/21/2011
Last updated
12/21/2011
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