Individual provider · Type 1 NPI

Jeremy Mark Pruitt

Mental Health Counselor · Eugene, OR

NPI number 1992849368 Active

Practice location

1790 W 11th Ave, Suite 290
Eugene, OR 97402-3758

Fax (541) 686-0359

Mailing address

735 W 24th Ave
Eugene, OR 97405-2452

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1992849368

Jeremy Mark Pruitt's National Provider Identifier is 1992849368, issued on Feb 17, 2007. 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 8, 2007.