| Lindsey Deherrera Llc | |
|
1355 Oak St Ste 100 Eugene OR 97401-3566 | |
| (541) 632-3826 | |
| Not Available |
| Full Name | Lindsey Deherrera Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1355 Oak St Ste 100, Eugene, Oregon |
| Authorized Official Name and Position | Lindsey Deherrera (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5416323826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lindsey Deherrera Llc 1355 Oak St Ste 100 Eugene OR 97401-3566 Ph: (541) 632-3826 | Lindsey Deherrera Llc 1355 Oak St Ste 100 Eugene OR 97401-3566 Ph: (541) 632-3826 |
| NPI Number | 1740771682 |
|---|---|
| Provider Enumeration Date | 05/27/2018 |
| Last Update Date | 10/13/2022 |
| Certification Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740771682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | LMFT98749 (California) | Primary |
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