| First Responder Lpc, Llc | |
|
207 E 5th Avenue, Suite 228 Eugene OR 97401 | |
| (541) 517-5177 | |
| Not Available |
| Full Name | First Responder Lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 207 E 5th Avenue, Suite 228, Eugene, Oregon |
| Authorized Official Name and Position | Jennifer Lynn Graham (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5415175177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Responder Lpc, Llc 2161 Grove St Eugene OR 97404-2244 Ph: (541) 431-1727 | First Responder Lpc, Llc 207 E 5th Avenue, Suite 228 Eugene OR 97401 Ph: (541) 517-5177 |
| NPI Number | 1144004490 |
|---|---|
| Provider Enumeration Date | 08/18/2023 |
| Last Update Date | 08/18/2023 |
| Certification Date | 08/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144004490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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