Individual
MRS. CARLA MARIE AYRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
975 WILLAGILLESPIE RD STE 200, EUGENE, OR 97401-2104
(458) 234-3640
Mailing address
975 WILLAGILLESPIE RD STE 200, EUGENE, OR 97401-2104
(458) 234-3640
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L6275
OR
Other
Enumeration date
05/18/2009
Last updated
02/28/2022
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