Alexander James Egger, LPC-OR, LCPC-IL
Counselor, Mental Health in Dallas, OR. Individual provider (NPI-1).
NPI number1164027686
StatusActive
Last updated in NPPESNov 6, 2024
Details
- NPI
- 1164027686
- Entity type
- Individual (NPI-1)
- Name
- Alexander James Egger
- Credential
- LPC-OR, LCPC-IL
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2020
- Certification date
- Nov 6, 2024
- Last updated
- Nov 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | C7431 | OR | Yes |
| 101YM0800X | Counselor, Mental Health | 178016072 | IL | |
| 101YP2500X | Counselor, Professional | C7431 | OR | |
| 101YP2500X | Counselor, Professional | 178016072 | IL |
Practice location
182 Sw Academy StDallas, OR 97338-1996
Phone 503-623-9289
Mailing address
2065 Robins Ln Se Unit 314Salem, OR 97306-2770
Phone 815-404-9414
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