Megan Elizabeth Ellery
Counselor, Mental Health in Eugene, OR. Individual provider (NPI-1).
NPI number1154005239
StatusActive
Last updated in NPPESJun 9, 2023
Details
- NPI
- 1154005239
- Entity type
- Individual (NPI-1)
- Name
- Megan Elizabeth Ellery
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2023
- Certification date
- Jun 9, 2023
- Last updated
- Jun 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- Ellery Jean Carpenter (Professional Name)
Practice location
341 E 12th AveEugene, OR 97401-3275
Phone 541-342-8255 · Fax 541-342-7987
Mailing address
341 E 12th AveEugene, OR 97401-3275
Phone 541-342-8255 · Fax 541-342-7987
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