| Mike Kaufman | |
|
1234 Pearl St Ste 4 Eugene OR 97401-3642 | |
| (541) 991-9624 | |
| Not Available |
| Full Name | Mike Kaufman |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1234 Pearl St Ste 4, Eugene, Oregon |
| Authorized Official Name and Position | Michael Kaufman (OWNER) |
| Authorized Official Contact | 5419919624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mike Kaufman 1234 Pearl St Ste 4 Eugene OR 97401-3642 Ph: (541) 991-9624 | Mike Kaufman 1234 Pearl St Ste 4 Eugene OR 97401-3642 Ph: (541) 991-9624 |
| NPI Number | 1053950154 |
|---|---|
| Provider Enumeration Date | 01/06/2020 |
| Last Update Date | 01/06/2020 |
| Certification Date | 01/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053950154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Secondary |
| 1041C0700X | Social Worker - Clinical | () | Secondary |
| 106H00000X | Marriage & Family Therapist | () | Primary |
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