Individual provider · Type 1 NPI

Matthew Buccola

Mental Health Counselor · Eugene, OR

NPI number 1356692677 Active

Practice location

71 Centennial Loop Ste A
Eugene, OR 97401-2443

Call (541) 505-8426 Map

Fax (541) 515-6938

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 1356692677

Matthew Buccola's National Provider Identifier is 1356692677, issued on Sep 26, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Aug 21, 2020.