Tim Black - Eugene, OR - NPI 1104382324

Tim Black

Counselor in Eugene, Oregon

NPI 1104382324

Tim Black is a Counselor based in Medford, OR. Tim Black practices in Eugene, OR. The NPI Number for Tim Black is 1104382324 and holds a License No. PROFESSIONALLICENSE (Oregon).

The current practice location address for Tim Black is 2222 Coburg Rd Ste 100, Eugene, OR and can be reached out via phone at 458-210-2984 and via fax at 458-210-2985.

Location: 2222 Coburg Rd Ste 100, Eugene, OR, 97504-4004

NPI Number

1104382324

Provider Name

Tim Black

Credential

Provider Entity Type

Individual

Gender

Male

Address

2222 Coburg Rd Ste 100, Eugene, OR, 97504-4004

Phone Number

458-210-2984

Fax Number

458-210-2985

Provider Enumeration Date

02/12/2019

Last Update Date

03/10/2024

Address

2222 Coburg Rd Ste 100

City

Eugene

State

Oregon

Zip

97401-4988

Phone Number

458-210-2984

Fax Number

458-210-2985

Address

2222 Coburg Rd Ste 100

City

Eugene

State

Oregon

Zip

97401-4988

Phone Number

458-210-2984

Fax Number

458-210-2985

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

PROFESSIONALLICENSE ()

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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