NICKEY R FOSSETT

EUGENE, OR
NPI1801211073
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: OR  T1020)
Enumeration Date2014-02-25
Last Update Date2016-04-19
Business Address
-- NICKEY R FOSSETT LMFT
1017 ARTHUR ST
EUGENE, OR 97402
Phone number: 541-636-6180
Mailing Address
-- NICKEY R FOSSETT LMFT
2045 SE HAWTHORNE BLVD
PORTLAND, OR 97214-3819
Phone number: 541-636-6180