Individual provider · Type 1 NPI

Justin W. Wilde

Counselor · Eugene, OR

NPI number 1679908883 Active

Practice location

2517 Mlk Jr Blvd
Eugene, OR 97401-5898

Call (541) 342-4293 Map

Fax (541) 342-4832

Mailing address

1790 W 11th Ave
Eugene, OR 97402-3758

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1679908883

Justin W. Wilde's National Provider Identifier is 1679908883, issued on Sep 6, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Eugene, OR. The record was last updated on Sep 6, 2013.