Organization · Type 2 NPI

Individual Services

Professional Counselor · Eugene, OR

NPI number 1043875164 Active

Practice location

44 Club Rd Ste 200
Eugene, OR 97401-2460

Mailing address

114 W Superior St
Duluth, MN 55802-3000

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1043875164

Individual Services's National Provider Identifier is 1043875164, issued on May 3, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Eugene, OR. The record was last updated on Jun 1, 2026.