Individual
BRANDY TAYLER THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
291 W 12TH AVE, EUGENE, OR 97401-3409
(541) 234-3389
(458) 220-3179
Mailing address
1292 HIGH ST # 435, EUGENE, OR 97401-3238
(541) 234-3389
(458) 220-3179
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R7819
OR
101YP2500X
Professional Counselor
PCCI2903
CA
Other
Enumeration date
06/09/2016
Last updated
11/13/2023
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