Individual provider · Type 1 NPI
Cary Marie Provol
Mental Health Counselor · Eugene, OR
NPI number
1407016751
Active
Practice location
550 River Rd
Eugene, OR 97404-3212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1407016751
Cary Marie Provol's National Provider Identifier is 1407016751, issued on Jun 11, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Jun 11, 2008.