Geronimo, Diana Lorene
Geronimo, Diana Lorene is an sole proprietor health care provider with primary practice located at 400 E 2Nd Ave Ste 104E , Eugene OR 97401-2452. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Geronimo, Diana Lorene can be contacted via phone (541) 357-7502.Contact Information
Primary practice address
400 E 2Nd Ave Ste 104E
Eugene OR 97401-2452
Phone: (541) 357-7502
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | T1526 | Oregon |
Profile Details
| NPI number | 1649793209 |
|---|---|
| LBN Legal business name | Geronimo, Diana Lorene |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2017 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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