Individual provider · Type 1 NPI

Leo Eli Havens

Mental Health Counselor · Eugene, OR

NPI number 1831709971 Active

Practice location

2222 Coburg Rd Ste 100
Eugene, OR 97401-4988

Call (458) 210-2984 Map

Fax (458) 210-2985

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1831709971

Leo Eli Havens's National Provider Identifier is 1831709971, issued on Aug 4, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Aug 4, 2020.