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Individual

MR. DONALD ALLEN ERICKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC

Contact information

Practice address
511 E 12TH AVE, EUGENE, OR 97401-3608
(541) 636-7875
Mailing address
125 CRAFTSMAN WAY, EUGENE, OR 97408-5005
(541) 636-7875

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4588
OR

Other

Enumeration date
02/23/2018
Last updated
02/23/2018
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