Organization
CREATIVE SPIRIT COUNSELING
Active
Other names
Creative Spirit Collaborative
Organization subpart
No
Provider details
NPI number
Authorized official
RACHELLE CORNELIUS LPC (OWNER & PROVIDER)
(541) 514-7997
Entity
Organization
Contact information
Practice address
739 W 5TH AVE, EUGENE, OR 97402-5103
(541) 514-7997
Mailing address
739 W 5TH AVE, EUGENE, OR 97402-5103
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C3044
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500732306
—
OR
Enumeration date
03/08/2018
Last updated
08/02/2021
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