Individual
CORBY MARIE VANDERMARLIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADCI
Contact information
Practice address
350 E 11TH AVE, EUGENE, OR 97401-3246
(541) 683-1641
Mailing address
350 E 11TH AVE, EUGENE, OR 97401-3246
(541) 683-1641
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
101YM0800X
Mental Health Counselor
24-QMHA-R-5531
OR
Other
Enumeration date
02/06/2021
Last updated
07/02/2024
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