| Invictus Therapy And Consultation Llc | |
|
911 Country Club Rd Ste 290 Eugene OR 97401-1301 | |
| (541) 313-6199 | |
| (541) 576-8977 |
| Full Name | Invictus Therapy And Consultation Llc |
|---|---|
| Speciality | Psychologist |
| Location | 911 Country Club Rd Ste 290, Eugene, Oregon |
| Authorized Official Name and Position | Bradley Cohn (OWNER) |
| Authorized Official Contact | 5413136199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Invictus Therapy And Consultation Llc 911 Country Club Rd Ste 290 Eugene OR 97401-1301 Ph: (541) 313-6199 | Invictus Therapy And Consultation Llc 911 Country Club Rd Ste 290 Eugene OR 97401-1301 Ph: (541) 313-6199 |
| NPI Number | 1114574936 |
|---|---|
| Provider Enumeration Date | 08/26/2019 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114574936 | NPI | - | NPPES |
| 500662798 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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