Individual provider · Type 1 NPI

Penny Roxann Liebl

Mental Health Counselor · Eugene, OR

NPI number 1104123215 Active

Practice location

1790 W 11th Ave, Shelter Care Suite 290
Eugene, OR 97402

Mailing address

PO Box 41645
Eugene, OR 97404-0386

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104123215

Penny Roxann Liebl's National Provider Identifier is 1104123215, issued on Feb 25, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Feb 25, 2011.