JONATHAN LANDIS

EUGENE, OR
NPI1215401898
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2019-01-16
Last Update Date2019-01-16
Business Address
JONATHAN LANDIS
499 W 4TH AVE
EUGENE, OR 97401-2505
Phone number: 541-686-1262
Mailing Address
JONATHAN LANDIS
499 W 4TH AVE
EUGENE, OR 97401-2505
Phone number: 458-210-7573
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