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Ms. Michele Tantriella-modell, LPC
Professional Counselor in Eugene, Oregon
NPI 1376828772

Michele Tantriella-modell is a Professional Counselor based in Springfield, OR and is specialized in Professional. Michele Tantriella-modell practices in Eugene, OR and has the professional credentials of LPC. The NPI Number for Michele Tantriella-modell is 1376828772 and holds a License No. C1796 (Oregon).

The current practice location address for Michele Tantriella-modell is 66 Club Rd Ste 160, Eugene, OR and can be reached out via phone at 541-345-1722 and via fax at 541-485-7049.

Location: 66 Club Rd Ste 160, Eugene, OR, 97475-0137
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Provider Profile Details
NPI Number
1376828772
Provider Name
Michele Tantriella-modell
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
66 Club Rd Ste 160, Eugene, OR, 97475-0137
Phone Number
541-345-1722
Fax Number
541-485-7049
Provider Enumeration Date
10/17/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500641977 05 OR
14652890 01 CAQH ID
institution
Provider Business Practice Location Address Details
Address
66 Club Rd Ste 160
City
State
Zip
97401-2439
Phone Number
541-345-1722
Fax Number
541-485-7049
person
Provider Business Mailing Address Details
Address
66 Club Rd Ste 160
City
State
Zip
97401-2439
Phone Number
541-345-1722
Fax Number
541-485-7049
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C1796 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C1796 (Oregon)
Definition
Definition to come...
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