person
Marc Douglass Widmer
Mental Health Counselor in Coburg, Oregon
NPI 1770351017

Marc Douglass Widmer is a Mental Health Counselor based in Coburg, OR and is specialized in Mental Health. Marc Douglass Widmer practices in Coburg, OR. The NPI Number for Marc Douglass Widmer is 1770351017 and holds a License No. (Oregon).

The current practice location address for Marc Douglass Widmer is 1 Serenity Ln, Coburg, OR and can be reached out via phone at 541-687-1110.

Location: 1 Serenity Ln, Coburg, OR, 97408-9350
person
Provider Profile Details
NPI Number
1770351017
Provider Name
Marc Douglass Widmer
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 Serenity Ln, Coburg, OR, 97408-9350
Phone Number
541-687-1110
Fax Number
Provider Enumeration Date
12/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Serenity Ln
City
State
Zip
97408-9350
Phone Number
541-687-1110
Fax Number
person
Provider Business Mailing Address Details
Address
1 Serenity Ln
City
State
Zip
97408-9350
Phone Number
541-687-1110
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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