person
Keyonna Shawntel Mcculloch, MSW
Mental Health Counselor in Eugene, Oregon
NPI 1215251962

Keyonna Shawntel Mcculloch is a Mental Health Counselor based in Eugene, OR and is specialized in Mental Health. Keyonna Shawntel Mcculloch practices in Eugene, OR and has the professional credentials of MSW. The NPI Number for Keyonna Shawntel Mcculloch is 1215251962 and holds a License No. (Oregon).

The current practice location address for Keyonna Shawntel Mcculloch is 2440 Willamette St Ste 201, Eugene, OR and can be reached out via phone at 541-321-2278 and via fax at 541-246-8826.

Location: 2440 Willamette St Ste 201, Eugene, OR, 97402-1217
person
Provider Profile Details
NPI Number
1215251962
Provider Name
Keyonna Shawntel Mcculloch
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
2440 Willamette St Ste 201, Eugene, OR, 97402-1217
Phone Number
541-321-2278
Fax Number
541-246-8826
Provider Enumeration Date
03/24/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5006614690 05 OR
institution
Provider Business Practice Location Address Details
Address
2440 Willamette St Ste 201
City
State
Zip
97405-3170
Phone Number
541-321-2278
Fax Number
541-246-8826
person
Provider Business Mailing Address Details
Address
2440 Willamette St Ste 201
City
State
Zip
97405-3170
Phone Number
541-321-2278
Fax Number
541-246-8826
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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