| Alive Counseling Clinic, Llc | |
|
777 High St Ste 130 Eugene OR 97401-2750 | |
| (541) 216-4034 | |
| (541) 216-4034 |
| Full Name | Alive Counseling Clinic, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 777 High St Ste 130, Eugene, Oregon |
| Authorized Official Name and Position | Erin Frazier-maskiell (OWNER) |
| Authorized Official Contact | 5413573248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alive Counseling Clinic, Llc 777 High St Ste 130 Eugene OR 97401-2750 Ph: (541) 216-4034 | Alive Counseling Clinic, Llc 777 High St Ste 130 Eugene OR 97401-2750 Ph: (541) 216-4034 |
| NPI Number | 1801651617 |
|---|---|
| Provider Enumeration Date | 02/20/2024 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801651617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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