Cary Marie Provol
Counselor, Mental Health in Eugene, OR. Individual provider (NPI-1).
NPI number1407016751
StatusActive
Last updated in NPPESJun 11, 2008
Details
- NPI
- 1407016751
- Entity type
- Individual (NPI-1)
- Name
- Cary Marie Provol
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 11, 2008
- Last updated
- Jun 11, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
550 River RdEugene, OR 97404-3212
Phone 541-689-8795
Mailing address
550 River RdEugene, OR 97404-3212
Phone 541-689-8795
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