Individual
CARLYN MEI-LAN WIERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
260 E 11TH AVE, EUGENE, OR 97401-3247
(541) 484-4428
Mailing address
260 E 11TH AVE, EUGENE, OR 97401-3247
(541) 484-4428
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/01/2010
Last updated
01/23/2019
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