Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor |
NPI | 1003140021 |
---|---|
Provider Name | Susan Elizabeth Pepper-Reed |
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 | 23/09/2009 |
Last Update Date | 03/05/2017 |