person
Tracy Leon Wise
Mental Health Counselor in Eugene, Oregon
NPI 1699920462

Tracy Leon Wise is a Mental Health Counselor based in Eugene, OR and is specialized in Mental Health. Tracy Leon Wise practices in Eugene, OR. The NPI Number for Tracy Leon Wise is 1699920462 and holds a License No. (Oregon).

The current practice location address for Tracy Leon Wise is 3575 Donald St, Eugene, OR and can be reached out via phone at 541-520-8633.

Location: 3575 Donald St, Eugene, OR, 97405-4753
person
Provider Profile Details
NPI Number
1699920462
Provider Name
Tracy Leon Wise
Credential
Provider Entity Type
Individual
Gender
Male
Address
3575 Donald St, Eugene, OR, 97405-4753
Phone Number
541-520-8633
Fax Number
Provider Enumeration Date
11/20/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3575 Donald St
City
State
Zip
97405-4753
Phone Number
541-520-8633
Fax Number
person
Provider Business Mailing Address Details
Address
3575 Donald St
City
State
Zip
97405-4753
Phone Number
541-520-8633
Fax Number
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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