| Evergreen Therapy Llc | |
|
1245 Pearl St Ste 208 Eugene OR 97401-3564 | |
| (541) 279-2245 | |
| (541) 804-7380 |
| Full Name | Evergreen Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1245 Pearl St Ste 208, Eugene, Oregon |
| Authorized Official Name and Position | Elizabeth Reyes (LMFT) |
| Authorized Official Contact | 5413994411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Therapy Llc 243 W 10th Ave Eugene OR 97401-3008 Ph: (541) 279-2245 | Evergreen Therapy Llc 1245 Pearl St Ste 208 Eugene OR 97401-3564 Ph: (541) 279-2245 |
| NPI Number | 1891306973 |
|---|---|
| Provider Enumeration Date | 08/12/2020 |
| Last Update Date | 01/05/2022 |
| Certification Date | 01/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891306973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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