Individual provider · Type 1 NPI

Frederick Gouldner

Addiction (Substance Use Disorder) Counselor · Eugene, OR

NPI number 1790146314 Active

Practice location

2222 Coburg Rd Ste 100
Eugene, OR 97401-4988

Call (541) 858-8170 Map

Fax (541) 858-8167

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Other practice locations

  • 2655 Ashmun St, Sault Sainte Marie, MI 49783-3711 · (906) 632-2522
  • 2655 Ashmun St, Sault Sainte Marie, MI 49783-3711 · (906) 632-9809
  • 1416 W Easterday Ave, Sault Sainte Marie, MI 49783-1415 · (906) 635-5542

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XPROFESSIONALLICENSE
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1790146314

Frederick Gouldner's National Provider Identifier is 1790146314, issued on Mar 9, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eugene, OR. The record was last updated on Jun 14, 2024.