Individual
MARY VIRGINIA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCI
Contact information
Practice address
4211 W 11TH AVE STE A, EUGENE, OR 97402-5435
(541) 603-8898
Mailing address
4211 W 11TH AVE STE A, EUGENE, OR 97402-5435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-03-11043
OR
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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