Gina Edwards, Phd, Llc | |
1679 Willamette St Eugene OR 97401-4013 | |
(541) 525-2332 | |
(541) 344-1129 |
Full Name | Gina Edwards, Phd, Llc |
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Speciality | Counselor - Mental Health |
Location | 1679 Willamette St, Eugene, Oregon |
Authorized Official Name and Position | Gina Edwards (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 5415252332 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gina Edwards, Phd, Llc 1679 Willamette St Eugene OR 97401-4013 Ph: (541) 525-2332 | Gina Edwards, Phd, Llc 1679 Willamette St Eugene OR 97401-4013 Ph: (541) 525-2332 |
NPI Number | 1881120517 |
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Provider Enumeration Date | 05/01/2017 |
Last Update Date | 05/01/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881120517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | C4416 (Oregon) | Primary |
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