| Black Sheep Therapy Llc | |
|
200 E 11th Ave Ste 260 Eugene OR 97401-3200 | |
| (541) 329-9470 | |
| Not Available |
| Full Name | Black Sheep Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 200 E 11th Ave Ste 260, Eugene, Oregon |
| Authorized Official Name and Position | Jinxi Caddel (OWNER) |
| Authorized Official Contact | 5413299470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Sheep Therapy Llc 3425 Potter St Eugene OR 97405-4268 Ph: (541) 329-9470 | Black Sheep Therapy Llc 200 E 11th Ave Ste 260 Eugene OR 97401-3200 Ph: (541) 329-9470 |
| NPI Number | 1134834567 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 04/13/2024 |
| Certification Date | 09/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134834567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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