Individual
KONNIE ZOELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
78 CENTENNIAL LOOP STE A, EUGENE, OR 97401-7900
(541) 393-0777
(541) 687-9279
Mailing address
78 CENTENNIAL LOOP STE A, EUGENE, OR 97401-7900
(541) 393-0777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12-12-37
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500700370
—
OR
Enumeration date
02/08/2016
Last updated
09/01/2022
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