Individual
TEJA VIRIYA KRITIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, MS, QMHP
Contact information
Practice address
1170 PEARL ST, EUGENE, OR 97401-3541
(541) 743-4340
Mailing address
150 SHELTON MCMURPHEY BLVD STE 205, EUGENE, OR 97401-5017
(541) 600-4184
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C7671
OR
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500662298
—
OR
Enumeration date
09/16/2013
Last updated
11/14/2024
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