Individual provider · Type 1 NPI

David Street, CADC- 1, QMHA-R

Mental Health Counselor · Eugene, OR

NPI number 1366145682 Active

Practice location

2411 Mlk Jr Blvd
Eugene, OR 97401-5824

Call (541) 682-3550 Map

Fax (541) 682-9861

Mailing address

2073 Olympic St
Springfield, OR 97477-3413

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800X23-QMHA-R-4722 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1366145682

David Street, CADC- 1, QMHA-R's National Provider Identifier is 1366145682, issued on Mar 24, 2023. 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 6, 2024.