Individual provider · Type 1 NPI

Samuel Kimes

Mental Health Counselor · Eugene, OR

NPI number 1790107647 Active

Practice location

499 W 4th Ave
Eugene, OR 97401-2505

Call (541) 686-1262 Map

Mailing address

441 E 13th Ave, Apt. 4
Eugene, OR 97401-4233

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1790107647

Samuel Kimes's National Provider Identifier is 1790107647, issued on Jan 13, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Jan 13, 2014.