Individual
CYNTHIA LEA NESIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1077 CHAMBERS ST, STE 2, EUGENE, OR 97402-3706
(402) 984-3004
Mailing address
1077 CHAMBERS ST, STE 2, EUGENE, OR 97402-3706
(541) 342-8437
(458) 201-7150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3529
NE
101YM0800X
Mental Health Counselor
8102
NE
101YM0800X
Mental Health Counselor
L6819
OR
1041C0700X
Clinical Social Worker
1321
NE
1041C0700X
Clinical Social Worker
Primary
L6819
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025173100
—
NE
Enumeration date
04/11/2008
Last updated
05/22/2019
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