Individual provider · Type 1 NPI

Dominique Rachel Carlson

Mental Health Counselor · Eugene, OR

NPI number 1235945882 Active

Practice location

2525 Portland St
Eugene, OR 97405-3153

Call (541) 515-6321 Map

Fax (541) 515-6195

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XTHW112506 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1235945882

Dominique Rachel Carlson's National Provider Identifier is 1235945882, issued on Dec 9, 2024. 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 17, 2025.