Individual
MRS. AMANDA LUREE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
89733 ARMITAGE RD, EUGENE, OR 97408-9243
(541) 579-7408
Mailing address
609 BROOKSIDE DR, EUGENE, OR 97405-2044
(541) 579-7408
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
08-12-72U
OR
101YP2500X
Professional Counselor
Primary
C4167
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164936
—
OR
Enumeration date
07/07/2009
Last updated
02/11/2019
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