Individual provider · Type 1 NPI

Dylan Christian Pencakowski

Mental Health Counselor · Eugene, OR

NPI number 1073264123 Active

Practice location

2222 Coburg Rd Ste 103
Eugene, OR 97401-4966

Call (458) 210-2984 Map

Fax (458) 210-2985

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1073264123

Dylan Christian Pencakowski's National Provider Identifier is 1073264123, issued on Jan 11, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Jan 11, 2022.