TIM BLACK

Counselor

NPI: 1104382324Individual

Specialties, Licenses & Credentials

CounselorPrimary

Counselor

Code: 101Y00000X

PROFESSIONALLICENSE

Contact & Hours

Address: 2222 COBURG RD STE 100
EUGENE, OR 97401
Phone: (458) 210-2984

Quick Facts

NPI: 1104382324
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile