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1306685177
CHAD EDWARD LARSON
EUGENE, OR
NPI
1306685177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-05-22
Last Update Date
2024-05-22
Business Address
CHAD EDWARD LARSON CADC-R
605 W 4TH AVE
EUGENE, OR 97402-5022
Phone number: 541-762-4575
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Mailing Address
CHAD EDWARD LARSON CADC-R
605 W 4TH AVE
EUGENE, OR 97402-5022
Phone number: 541-762-4575
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