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Madrone Mental Health Services, LLC

Social Worker, Clinical in Eugene, OR. Organization (NPI-2).

NPI number1124400908
StatusActive
Last updated in NPPESSep 1, 2015

Details

NPI
1124400908
Entity type
Organization (NPI-2)
Legal business name
Madrone Mental Health Services, LLC
Organization subpart
No
Enumeration date
Jun 29, 2015
Last updated
Sep 1, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalL6505ORYes

Practice location

150 Shelton McMurphey Blvd Ste 101
Eugene, OR 97401-5015

Phone 541-210-8090

Mailing address

150 Shelton McMurphey Blvd
Ste 101
Eugene, OR 97401-5015

Authorized official

Bradley P Cohn
Co-Director
5412108090

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