| Collective Elements Psychotherapy Llc | |
|
777 High St Ste 240 Eugene OR 97401-2759 | |
| (541) 712-3011 | |
| Not Available |
| Full Name | Collective Elements Psychotherapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 777 High St Ste 240, Eugene, Oregon |
| Authorized Official Name and Position | William Dusenberry (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5412229596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collective Elements Psychotherapy Llc 777 High St Ste 240 Eugene OR 97401-2759 Ph: () - | Collective Elements Psychotherapy Llc 777 High St Ste 240 Eugene OR 97401-2759 Ph: (541) 712-3011 |
| NPI Number | 1770254690 |
|---|---|
| Provider Enumeration Date | 09/21/2021 |
| Last Update Date | 09/21/2021 |
| Certification Date | 09/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770254690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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