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Active
Other names
Shaunta Hemingway
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAUNTA HEMINGWAY PH.D. (OWNER, CEO)
(541) 972-2802
Entity
Organization

Contact information

Practice address
1170 GARFIELD ST, EUGENE, OR 97402-3513
(541) 972-2802
Mailing address
1170 GARFIELD ST, EUGENE, OR 97402-3513
(541) 972-2802

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
103TB0200X
Cognitive & Behavioral Psychologist
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
50070861
OR
Enumeration date
09/21/2023
Last updated
09/25/2023
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