Individual provider · Type 1 NPI

Clancy Bergold

Mental Health Counselor · Eugene, OR

NPI number 1396058467 Active

Practice location

5350 Donald St
Eugene, OR 97405-3529

Call (541) 505-8558 Map

Fax (541) 505-8558

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...

5 other providers at this address

Other mental health counselor providers in Eugene

See all in Eugene →

About NPI 1396058467

Clancy Bergold's National Provider Identifier is 1396058467, issued on Jul 19, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Sep 12, 2018.