Individual
MICHAEL J QUERUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 LINCOLN ST, EUGENE, OR 97401-2502
(541) 344-3574
Mailing address
715 LINCOLN ST, EUGENE, OR 97401-2502
(541) 344-3574
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC I 160413
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADCI 16-04-13
OR
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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