Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003105263 |
---|---|
Provider Name | Maleah Lynn Obie Barrett |
First Address | Eugene, OR 97401-3238 |
Second Address | Eugene, OR 97401-3238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2011 |
Last Update Date | 28/03/2011 |