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Shane Mitrov
Mental Health Counselor in Eugene, Oregon
NPI 1952883191

Shane Mitrov is a Mental Health Counselor based in Eugene, OR and is specialized in Mental Health. Shane Mitrov practices in Eugene, OR. The NPI Number for Shane Mitrov is 1952883191 and holds a License No. (Oregon).

The current practice location address for Shane Mitrov is 2149 Centennial Plz Ste 4, Eugene, OR and can be reached out via phone at 541-741-7107.

Location: 2149 Centennial Plz Ste 4, Eugene, OR, 97401-7900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952883191
Provider Name
Shane Mitrov
Credential
Provider Entity Type
Individual
Gender
Male
Address
2149 Centennial Plz Ste 4, Eugene, OR, 97401-7900
Phone Number
541-741-7107
Fax Number
Provider Enumeration Date
09/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2149 Centennial Plz Ste 4
City
Eugene
State
Oregon
Zip
97401-2456
Phone Number
541-741-7107
Fax Number
person
Provider Business Mailing Address Details
Address
2149 Centennial Plz Ste 4
City
Eugene
State
Oregon
Zip
97401-2456
Phone Number
541-741-7107
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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