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Justin Samuel Madeira
Mental Health Counselor in Springfield, Oregon
NPI 1144622291

Justin Samuel Madeira is a Mental Health Counselor based in Springfield, OR and is specialized in Mental Health. Justin Samuel Madeira practices in Springfield, OR. The NPI Number for Justin Samuel Madeira is 1144622291 and holds a License No. (Oregon).

The current practice location address for Justin Samuel Madeira is 3995 Marcola Rd, Springfield, OR and can be reached out via phone at 541-726-1465.

Location: 3995 Marcola Rd, Springfield, OR, 97477-7948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144622291
Provider Name
Justin Samuel Madeira
Credential
Provider Entity Type
Individual
Gender
Male
Address
3995 Marcola Rd, Springfield, OR, 97477-7948
Phone Number
541-726-1465
Fax Number
Provider Enumeration Date
09/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3995 Marcola Rd
City
Springfield
State
Oregon
Zip
97477-7948
Phone Number
541-726-1465
Fax Number
person
Provider Business Mailing Address Details
Address
3995 Marcola Rd
City
Springfield
State
Oregon
Zip
97477-7948
Phone Number
541-726-1465
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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