Individual
JACLYN LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
4211 W 11TH AVE, EUGENE, OR 97402-5435
(541) 485-1577
Mailing address
4211 W 11TH AVE, EUGENE, OR 97402-5435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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