Maja Addington

Individual provider Active NPI Mental Health Counselor · Eugene, OR

NPI 1033577960 · NPPES record last updated Feb 6, 2016

Key facts

NPI
1033577960
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
C3779 (OR)
Practice address
488 Alexander Loop Apt 4318
Eugene, OR 97401-6736
Phone
(503) 327-9641
NPI assigned
Feb 6, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
C3779ORMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C3779 OR Yes
Professional Counselor 101YP2500X C3779 OR

Addresses

Primary practice location

488 Alexander Loop Apt 4318
Eugene, OR 97401-6736

Mailing address

488 Alexander Loop Apt 4318
Eugene, OR 97401-6736
Phone (503) 327-9641

Other providers in Eugene, OR

All providers in Eugene, OR · Mental Health Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.