Individual provider · Type 1 NPI

Michele Tantriella-Modell, LPC

Professional Counselor · Eugene, OR

NPI number 1376828772 Active

Practice location

66 Club Rd Ste 160
Eugene, OR 97401-2439

Call (541) 345-1722 Map

Fax (541) 485-7049

Mailing address

PO Box 70779
Springfield, OR 97475-0137

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XC1796 (OR)
Professional Counselor Primary 101YP2500XC1796 (OR)

Professional Counselor: Definition to come...

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About NPI 1376828772

Michele Tantriella-Modell, LPC's National Provider Identifier is 1376828772, issued on Oct 17, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Eugene, OR. The record was last updated on Nov 14, 2023.