person
Kenria Yvonne Ann Van De Water
Mental Health Counselor in Eugene, Oregon
NPI 1780375014

Kenria Yvonne Ann Van De Water is a Mental Health Counselor based in Eugene, OR and is specialized in Mental Health. Kenria Yvonne Ann Van De Water practices in Eugene, OR. The NPI Number for Kenria Yvonne Ann Van De Water is 1780375014 and holds a License No. (Oregon).

The current practice location address for Kenria Yvonne Ann Van De Water is 1170 Pearl St, Eugene, OR and can be reached out via phone at 541-743-4340 and via fax at 541-743-4369.

Location: 1170 Pearl St, Eugene, OR, 97401-3541
person
Provider Profile Details
NPI Number
1780375014
Provider Name
Kenria Yvonne Ann Van De Water
Credential
Provider Entity Type
Individual
Gender
Female
Address
1170 Pearl St, Eugene, OR, 97401-3541
Phone Number
541-743-4340
Fax Number
541-743-4369
Provider Enumeration Date
05/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1170 Pearl St
City
State
Zip
97401-3541
Phone Number
541-743-4340
Fax Number
541-743-4369
person
Provider Business Mailing Address Details
Address
1170 Pearl St
City
State
Zip
97401-3541
Phone Number
541-743-4340
Fax Number
541-743-4369
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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