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Shannon Marie Waters
Professional Counselor in Eugene, Oregon
NPI 1831739796

Shannon Marie Waters is a Professional Counselor based in Salem, OR and is specialized in Professional. Shannon Marie Waters practices in Eugene, OR. The NPI Number for Shannon Marie Waters is 1831739796 and holds a License No. C6686 (Oregon).

The current practice location address for Shannon Marie Waters is 2440 Willamette St Ste 201, Eugene, OR and can be reached out via phone at 541-321-2278.

Location: 2440 Willamette St Ste 201, Eugene, OR, 97301-4078
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Provider Profile Details
NPI Number
1831739796
Provider Name
Shannon Marie Waters
Credential
Provider Entity Type
Individual
Gender
Female
Address
2440 Willamette St Ste 201, Eugene, OR, 97301-4078
Phone Number
541-321-2278
Fax Number
Provider Enumeration Date
01/08/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500775892 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
person
Provider Business Mailing Address Details
Address
2440 Willamette St Ste 201
City
State
Zip
97405-3170
Phone Number
541-321-2278
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C6686 (Oregon)
Definition
Definition to come...
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