Individual provider · Type 1 NPI

Shane Mitrov

Mental Health Counselor · Eugene, OR

NPI number 1952883191 Active

Practice location

2149 Centennial Plz Ste 4
Eugene, OR 97401-2456

Call (541) 741-7107 Map

Mailing address

78 Centennial Loop Ste A
Eugene, OR 97401-7900

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Peer Specialist 175T00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1952883191

Shane Mitrov's National Provider Identifier is 1952883191, issued on Sep 4, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Jul 17, 2020.