Individual provider · Type 1 NPI

Lisa Sue Deacon, MA

Mental Health Counselor · Eugene, OR

NPI number 1992894463 Active

Practice location

261 E 12th Ave
Eugene, OR 97401-3208

Fax (541) 342-1639

Mailing address

1258 High St
Eugene, OR 97401-3238

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCADCIII 951003 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1992894463

Lisa Sue Deacon, MA's National Provider Identifier is 1992894463, issued on Oct 12, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Feb 19, 2018.