Vanessa R Wallis

NPI 1033480660 - Counselor - 101YM0800X

NPI Details
NPI 1033480660
Gender Female
Enumeration Date 01/12/2012
Last Updated 01/12/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1790 W 11TH AVE STE A
EUGENE OR, 97402-3780, US
Phone (541) 868-0661
Fax
Business Location
1790 W 11TH AVE STE A
EUGENE OR, 97402-3780, US
Phone (541) 868-0661
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Vanessa R Wallis NPI is 1033480660, taxonomy code is 101YM0800X Vanessa R Wallis physically located at 1790 W 11th Ave Ste A, Eugene OR, 97402-3780. NPI Number Vanessa R Wallis has the Individual type.

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1033480660 NPI number is provided on an as is basis without warranty of any kind. 1033480660 is maintained by the National Plan & Provider Enumeration System. The contents of Vanessa R Wallis are for informational purposes only.